MEDICARE: KEW MINDSET LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588520589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEW MINDSET LLC

Provider Business Mailing Address
First Line	:	383 W WOODS RD
Second Line	:
City	:	HAMDEN
State	:	CT
Zip	:	06518-1916
Country	:	US
Telephone Number	:	475-252-8032
Fax Number	:

Provider Business Practice Location Address
First Line	:	383 W WOODS RD
Second Line	:
City	:	HAMDEN
State	:	CT
Zip	:	06518-1916
Country	:	US
Telephone Number	:	475-252-8032
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH WORKER
Name	:	KENNETH E WILLIAMS
Credential	:	LPC
Telephone Number	:	475-252-8032

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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Directions to “KEW MINDSET LLC ” Practice Location

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