| Creative Outlooks LLC | |
|
800 Main St S Ste 210 Southbury CT 06488-4210 | |
| (203) 887-7064 | |
| Not Available |
| Full Name | Creative Outlooks LLC |
|---|---|
| Speciality | Counselor |
| Location | 800 Main St S Ste 210, Southbury, Connecticut |
| Authorized Official Name and Position | Jennifer a Didonato (OWNER) |
| Authorized Official Contact | 2038877064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Outlooks LLC 3000 Whitney Ave # 256 Hamden CT 06518-2353 Ph: (203) 887-7064 | Creative Outlooks LLC 800 Main St S Ste 210 Southbury CT 06488-4210 Ph: (203) 887-7064 |
| NPI Number | 1124526579 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 12/24/2025 |
| Certification Date | 12/24/2025 |
| Medicare PECOS PAC ID | 2163999806 |
|---|---|
| Medicare Enrollment ID | O20260430000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124526579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2104 (Connecticut) | Primary |
| Provider Name | Jennifer Didonato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922497064 PECOS PAC ID: 1557706959 Enrollment ID: I20260430000034 |
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