| Creating Transformation, Llc | |
|
2096 B 2nd Floor Silas Deane Highway Rocky Hill CT 06067 | |
| (860) 304-9633 | |
| Not Available |
| Full Name | Creating Transformation, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2096 B 2nd Floor, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Karen Urbano (LPC) |
| Authorized Official Contact | 8603049633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Transformation, Llc 2096 B 2nd Floor Silas Deane Highway Rocky Hill CT 06067 Ph: (860) 304-9633 | Creating Transformation, Llc 2096 B 2nd Floor Silas Deane Highway Rocky Hill CT 06067 Ph: (860) 304-9633 |
| NPI Number | 1407265101 |
|---|---|
| Provider Enumeration Date | 08/06/2014 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407265101 | NPI | - | NPPES |
| 004235918 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002109 (Connecticut) | Primary |
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