Organization
A HEALTHY MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH L SIMONCELLI L.P.C (OWNER)
(860) 459-1134
Entity
Organization
Contact information
Practice address
100 MIGEON AVE, TORRINGTON, CT 06790-4861
(860) 459-1134
Mailing address
PO BOX 1233, TORRINGTON, CT 06790-1233
(860) 459-1134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2634
—
1041C0700X
Clinical Social Worker
007548
CT
Other
Enumeration date
01/11/2016
Last updated
07/06/2016
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