Organization
MIND BODY CONNECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A LEO LCPC (OWNER)
(207) 612-1129
Entity
Organization
Contact information
Practice address
48 COURT ST, SKOWHEGAN, ME 04976-1864
(207) 612-1129
Mailing address
48 COURT ST, SKOWHEGAN, ME 04976-1864
(207) 612-1129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/08/2024
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