| Safe Space Counseling Llc | |
|
208 Slade Rd Ashford CT 06278-1418 | |
| (860) 858-1730 | |
| (860) 300-1083 |
| Full Name | Safe Space Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 208 Slade Rd, Ashford, Connecticut |
| Authorized Official Name and Position | Tara L Bergeron (LCSW) |
| Authorized Official Contact | 8608581730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Space Counseling Llc 208 Slade Rd Ashford CT 06278-1418 Ph: (860) 858-1730 | Safe Space Counseling Llc 208 Slade Rd Ashford CT 06278-1418 Ph: (860) 858-1730 |
| NPI Number | 1033905823 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/17/2025 |
| Certification Date | 04/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033905823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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