| Cloud-shine Counseling Services Llc | |
|
67 Russ St Hartford CT 06106-5408 | |
| (225) 715-0608 | |
| Not Available |
| Full Name | Cloud-shine Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 67 Russ St, Hartford, Connecticut |
| Authorized Official Name and Position | Scherell D.g. Bryan (OWNER) |
| Authorized Official Contact | 2257150608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloud-shine Counseling Services Llc 67 Russ St Hartford CT 06106-5408 Ph: (225) 715-0608 | Cloud-shine Counseling Services Llc 67 Russ St Hartford CT 06106-5408 Ph: (225) 715-0608 |
| NPI Number | 1629797220 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629797220 | NPI | - | NPPES |
| XXXXXX | Other | XXXXX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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