Provider Demographics
NPI:1447834973
Name:STRONG MINDS, LLC
Entity type:Organization
Organization Name:STRONG MINDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATELYNN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BENTO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-301-3981
Mailing Address - Street 1:159 CARRIAGE CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-5833
Mailing Address - Country:US
Mailing Address - Phone:860-301-3981
Mailing Address - Fax:
Practice Address - Street 1:363 MAIN ST STE 511
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3359
Practice Address - Country:US
Practice Address - Phone:860-301-3981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty