CHALLENGING MINDS LLC


Address: 30 Peck Rd Ste 1103b, Torrington, CT 06790-6123
Phone: 8603852867

CHALLENGING MINDS LLC (NPI# 1730745316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730745316
Entity Type Organization
Organization Name CHALLENGING MINDS LLC
Practice Address 30 Peck Rd Ste 1103b
Torrington
CT 06790-6123
Mailing Address 143 Pine Hill Rd Unit 17a
Thomaston
CT 06787-1951
Practice Telephone 8603852867
Mailing Telephone 8609218909
Enumeration Date 2019-05-19
Last Update Date 2019-05-21
Authorized Official Name ANDREW MATUSIAK (OWNER/CEO)
Authorized Official Telephone 8603852867
Authorized Official Credential MSW, LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922503705 Challenging Minds LLC Clinic/Center 1313 S Commercial Dr Ste 202a, Foley, AL 36535-2425 2018-03-26

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations CHALLENGING MINDS LLC 143 Pine Hill Rd., Unit 17a, Thomaston, CT 06787

Office Location

Street Address 30 PECK RD STE 1103B
City TORRINGTON
State CT
Zip Code 06790-6123

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1053954735 Jenny Lara Marsden Community/Behavioral Health 806 Campbell Dr, Torrington, WY 82240-3403 2019-10-24
1285091298 Diane Servantez Community/Behavioral Health 2202 W C St, Torrington, WY 82240-1807 2016-01-21
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1881992642 Western Connecticut Mental Health Network Community/Behavioral Health 249 Winsted Rd, Torrington, CT 06790-2958 2011-03-03

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Competitor

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City TORRINGTON
Zip Code 06790

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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