| Creative Potential Llc | |
|
912 Norwich New London Tpke Ste 5 Uncasville CT 06382-1908 | |
| (860) 848-0514 | |
| (860) 848-0523 |
| Full Name | Creative Potential Llc |
|---|---|
| Speciality | Counselor |
| Location | 912 Norwich New London Tpke Ste 5, Uncasville, Connecticut |
| Authorized Official Name and Position | Sierra R Davis (OWNER) |
| Authorized Official Contact | 8608480514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Potential Llc 912 Norwich New London Tpke Ste 5 Uncasville CT 06382-1908 Ph: (860) 848-0514 | Creative Potential Llc 912 Norwich New London Tpke Ste 5 Uncasville CT 06382-1908 Ph: (860) 848-0514 |
| NPI Number | 1679239826 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679239826 | NPI | - | NPPES |
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