Mystic Bridge to Wellness, LLC
NPI #1750044509 in Mystic, Connecticut
Provider Information
- NPI Number
- 1750044509
- Entity Type
- Organization
- Organization Name
- Mystic Bridge to Wellness, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 19, 2021
- Last Updated
- Oct 22, 2021
Practice Location
- Address
- 47 WATER ST STE 202
- City
- Mystic
- State
- Connecticut
- ZIP Code
- 06355-2573
- Phone
- (617) 416-0597
Authorized Official
- Name
- LAUREN ST. AMOUR
- Title
- CLINICIAN
- Phone
- (617) 416-0597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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