Organization
BLACKBIRD RISING MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MAE BUFFINGTON LCSW (OWNER)
(503) 440-3088
Entity
Organization
Contact information
Practice address
14 MASONS ISLAND RD UNIT 11, MYSTIC, CT 06355-2958
(503) 440-3088
Mailing address
320 INDIGO ST, MYSTIC, CT 06355-1326
(503) 440-3088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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