Mind Body Motherhood LLC

NPI #1770105736 in Bethany, Connecticut

Provider Information

NPI Number: 1770105736
Entity Type: Organization
Organization Name: Mind Body Motherhood LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 13, 2020
Last Updated: May 13, 2020

Practice Location

Address: 649 AMITY RD STE 103
City: Bethany
State: Connecticut
ZIP Code: 06524-3091
Phone: (860) 357-1734

Authorized Official

Name: SAMANTHA NILSSON, LCSW
Title: THERAPIST AND OWNER
Phone: (860) 357-1734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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