Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body Rise

Organization Clinical Social Worker · NPI 1003481755

Mind Body Rise is a Clinical Social Worker in Stonington, Connecticut. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

808 Stonington Rd Ste 200
Stonington, CT 06378-2517
Phone: (860) 535-9922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1003481755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Fogg Donovan — Owner · (860) 912-9584
NPI enumeratedMay 25, 2021
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address808 Stonington Rd, Stonington, CT 06378-2530

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