Provider Demographics
NPI:1003612292
Name:A QUIET MIND ADDICTION HEALING
Entity type:Organization
Organization Name:A QUIET MIND ADDICTION HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ALCOHOL AND DRUG COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BESEK
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:203-848-8849
Mailing Address - Street 1:145 HARBOR POND DR APT 16A
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-3461
Mailing Address - Country:US
Mailing Address - Phone:203-848-8849
Mailing Address - Fax:
Practice Address - Street 1:145 HARBOR POND DR APT 16A
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-3461
Practice Address - Country:US
Practice Address - Phone:203-848-8849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty