| NPI | 1720798317 |
|---|---|
| Former Legal Business Name | BE MINDFUL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TANESHA S PICKARD Clinical Director 203-668-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2026-08-01 |