Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mind Body Soul - Psychology and Consulting Group LLC

Organization Clinical Psychologist · NPI 1912434234

Mind Body Soul - Psychology and Consulting Group LLC is a Clinical Psychologist in Ridgefield, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 Danbury Rd Lowr Level Ste D6
Ridgefield, CT 06877-0687
Phone: (203) 494-8468
Fax: (845) 582-0764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 Danbury Rd Lowr Level, Ridgefield, CT 06877-4142 — (203) 494-8468

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2706 (CT)

Record details

NPI number1912434234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Wagner — Owner, Clinical Psychologist · (203) 494-8468
NPI enumeratedMay 17, 2017
Last updated in NPPESJuly 21, 2022
Mailing address109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877

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