The Sacred Self, Llc - Mental Health Clinic in Newington, CT

The Sacred Self, Llc is a mental health clinic (Counselor - Professional) in Newington, Connecticut. The current practice location for The Sacred Self, Llc is 171 Market Sq, Suite 102, Newington, Connecticut. For appointments, you can reach them via phone at (860) 614-8382. The mailing address for The Sacred Self, Llc is 171 Market Sq, Suite 102, Newington, Connecticut and phone number is (860) 614-8382.

The Sacred Self, Llc is licensed to practice in Connecticut (license number 002593) and its NPI number is 1104227685. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (860) 614-8382.

Contact Information

The Sacred Self, Llc
171 Market Sq
Suite 102
Newington
CT 06111-2927
(860) 614-8382
(860) 561-5394

Mental Health Clinic Profile

Full NameThe Sacred Self, Llc
SpecialityCounselor - Professional
Location171 Market Sq, Newington, Connecticut
Authorized Official Name and PositionCharleen K Miele (OWNER)
Authorized Official Contact8606148382
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Sacred Self, Llc
171 Market Sq
Suite 102
Newington
CT 06111-2927

Ph: (860) 614-8382
The Sacred Self, Llc
171 Market Sq
Suite 102
Newington
CT 06111-2927

Ph: (860) 614-8382

NPI Details:

NPI Number1104227685
Provider Enumeration Date09/15/2014
Last Update Date09/15/2014

Medical Identifiers

Medical identifiers for The Sacred Self, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104227685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 002593 (Connecticut)Primary

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