| Creative Therapeutics, Llc | |
|
1066 Storrs Rd Suite C Storrs Mansfield CT 06268-2648 | |
| (860) 429-2500 | |
| (860) 429-2501 |
| Full Name | Creative Therapeutics, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1066 Storrs Rd, Storrs Mansfield, Connecticut |
| Authorized Official Name and Position | John Francis Hennessey (AGENT/MANAGER AND MEMBER) |
| Authorized Official Contact | 8604292500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Therapeutics, Llc 140 Crane Hill Rd Storrs Mansfield CT 06268-2800 Ph: (860) 377-2996 | Creative Therapeutics, Llc 1066 Storrs Rd Suite C Storrs Mansfield CT 06268-2648 Ph: (860) 429-2500 |
| NPI Number | 1275787400 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275787400 | NPI | - | NPPES |
| 000568 | Other | CT | STATE OF CT DEPARTMENT OF PUBLIC HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000568 (Connecticut) | Primary |
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