| Thrive And Dream Psychotherapy, Llc | |
|
4 Marlboro Glade Tolland CT 06084-3553 | |
| (860) 866-5871 | |
| Not Available |
| Full Name | Thrive And Dream Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4 Marlboro Glade, Tolland, Connecticut |
| Authorized Official Name and Position | Jennifer Faith (OWNER) |
| Authorized Official Contact | 8608665871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive And Dream Psychotherapy, Llc 4 Marlboro Glade Tolland CT 06084-3553 Ph: (860) 933-8404 | Thrive And Dream Psychotherapy, Llc 4 Marlboro Glade Tolland CT 06084-3553 Ph: (860) 866-5871 |
| NPI Number | 1508345406 |
|---|---|
| Provider Enumeration Date | 08/10/2018 |
| Last Update Date | 08/10/2018 |
| Medicare PECOS PAC ID | 2163824061 |
|---|---|
| Medicare Enrollment ID | O20210715000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508345406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009789 (Connecticut) | Primary |
| Provider Name | Jennifer Neff Faith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861674533 PECOS PAC ID: 3072915974 Enrollment ID: I20210721001100 |
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