Organization
THE WISE MIND WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME MORALES LADC, LPC (CO-OWNER)
(203) 246-0221
Entity
Organization
Contact information
Practice address
1 DOGWOOD DR, PORTLAND, CT 06480-1503
(203) 246-0221
Mailing address
1 DOGWOOD DR, PORTLAND, CT 06480-1503
(203) 246-0221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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