Mind Body Rise
NPI #1003481755 in Stonington, Connecticut
Provider Information
- NPI Number
- 1003481755
- Entity Type
- Organization
- Organization Name
- Mind Body Rise
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 25, 2021
- Last Updated
- Jul 1, 2025
Practice Location
- Address
- 808 STONINGTON RD STE 200
- City
- Stonington
- State
- Connecticut
- ZIP Code
- 06378-2517
- Phone
- (860) 535-9922
Authorized Official
- Name
- TERRI FOGG DONOVAN
- Title
- OWNER
- Phone
- (860) 912-9584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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