Empowered Mindscape LLC
NPI #1972303170 in Manchester, Connecticut
Provider Information
- NPI Number
- 1972303170
- Entity Type
- Organization
- Organization Name
- Empowered Mindscape LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 17, 2025
- Last Updated
- Mar 17, 2025
Practice Location
- Address
- 543 N MAIN ST STE F
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-1935
- Phone
- (607) 857-0143
Authorized Official
- Name
- TANYA C. WAYNE
- Title
- MARRIAGE AND FAMILY THERAPIST
- Phone
- (607) 857-0143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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