| Creating Space to Thrive PLLC | |
|
54-2 Meetinghouse Vlg Meriden CT 06450-6717 | |
| (203) 982-9686 | |
| Not Available |
| Full Name | Creating Space to Thrive PLLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 54-2 Meetinghouse Vlg, Meriden, Connecticut |
| Authorized Official Name and Position | Christina Thompson (CLINICIAN) |
| Authorized Official Contact | 2039829686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Space to Thrive PLLC 54-2 Meetinghouse Vlg Meriden CT 06450-6717 Ph: (203) 982-9686 | Creating Space to Thrive PLLC 54-2 Meetinghouse Vlg Meriden CT 06450-6717 Ph: (203) 982-9686 |
| NPI Number | 1003633108 |
|---|---|
| Provider Enumeration Date | 09/20/2024 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003633108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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