Organization
EMPOWERED MINDSCAPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA C. WAYNE (MARRIAGE AND FAMILY THERAPIST)
(607) 857-0143
Entity
Organization
Contact information
Practice address
543 N MAIN ST STE F, MANCHESTER, CT 06042-1935
(607) 857-0143
Mailing address
516 HILLS ST, EAST HARTFORD, CT 06118-3028
(607) 857-0143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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