Organization
HEALTHY MINDS PLLC
Active
Other names
Healthy Minds
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN RODRIGUEZ PMHNP - BC (NURSE PRACTITIONER MH)
(860) 214-5688
Entity
Organization
Contact information
Practice address
40 RUSS ST, HARTFORD, CT 06106-1520
(860) 544-5926
Mailing address
1161 PALISADO AVE, WINDSOR, CT 06095-1435
(860) 214-5688
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080223715
—
CT
Enumeration date
07/20/2020
Last updated
07/20/2020
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