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General NPI Number Information
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NPI Number | 1821635129
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Entity Type | Organization
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Legal Business Name | MINDFUL TRANSFORMATIONS LLC
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 17 TALCOTT NOTCH RD STE 1F
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City | FARMINGTON
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State | CT
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Zip | 06032-1818
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Country | US
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Telephone | 860-308-2807
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 270222
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City | WEST HARTFORD
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State | CT
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Zip | 06127-0222
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Country | US
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Telephone | 860-308-2807
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | SAMANTHA ALZATE
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Credential |
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Telephone | 860-944-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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