Provider Demographics
NPI:1891279352
Name:MINDFUL CONNECTIONS THERAPY
Entity Type:Organization
Organization Name:MINDFUL CONNECTIONS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:520-447-9796
Mailing Address - Street 1:10200 E GIRARD AVE STE D218
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5633
Mailing Address - Country:US
Mailing Address - Phone:520-447-9796
Mailing Address - Fax:
Practice Address - Street 1:10200 E GIRARD AVE STE D218
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5633
Practice Address - Country:US
Practice Address - Phone:520-447-9796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty