Organization
MIND, BODY AND SOUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KELLY LMFT (OWNER)
(860) 716-6246
Entity
Organization
Contact information
Practice address
21 NEW BRITAIN AVE, SUITE 215, ROCKY HILL, CT 06067-1100
(860) 716-6246
Mailing address
21 NEW BRITAIN AVE, SUITE 215, ROCKY HILL, CT 06067-1100
(860) 716-6246
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001163
CT
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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