| Thriving Potential, PLLC | |
|
2 Chapman Ln Unit 11 Gales Ferry CT 06335-1222 | |
| (860) 941-7550 | |
| Not Available |
| Full Name | Thriving Potential, PLLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2 Chapman Ln Unit 11, Gales Ferry, Connecticut |
| Authorized Official Name and Position | Samantha Wilson (CLINICIAN) |
| Authorized Official Contact | 8609417550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Potential, PLLC 22 Homestead Rd Apt D Ledyard CT 06339-1402 Ph: (860) 941-7550 | Thriving Potential, PLLC 2 Chapman Ln Unit 11 Gales Ferry CT 06335-1222 Ph: (860) 941-7550 |
| NPI Number | 1346883709 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 10/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346883709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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