Holistic Le Clinical Service | |
12 Bear Ridge Dr Bloomfield CT 06002-1108 | |
(860) 830-5130 | |
Not Available |
Full Name | Holistic Le Clinical Service |
---|---|
Speciality | Social Worker - Clinical |
Location | 12 Bear Ridge Dr, Bloomfield, Connecticut |
Authorized Official Name and Position | Lisa Marie Turner (CEO/LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 1868830513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Holistic Le Clinical Service 12 Bear Ridge Dr Bloomfield CT 06002-1108 Ph: (860) 830-5130 | Holistic Le Clinical Service 12 Bear Ridge Dr Bloomfield CT 06002-1108 Ph: (860) 830-5130 |
NPI Number | 1417650086 |
---|---|
Provider Enumeration Date | 03/23/2023 |
Last Update Date | 03/23/2023 |
Certification Date | 03/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417650086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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