Healthcare Provider Details
I. General information
NPI: 1942124458
Provider Name (Legal Business Name): MINDSET SWEET INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
88 LENOX AVE
STAMFORD CT
06906-2318
US
IV. Provider business mailing address
88 LENOX AVE
STAMFORD CT
06906-2318
US
V. Phone/Fax
- Phone: 203-212-8407
- Fax:
- Phone: 203-212-8407
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOANA
B
LAUTURE
Title or Position: PMHNP-BC
Credential: DNP, APRN
Phone: 203-550-7912