Weave Your Life LLC
Social Worker, Clinical in Southington, Connecticut
1104149293- Practice location
- 963 Queen St, Suite C, Southington, CT 06489-1282
- Phone
- 860-819-8570
- Fax
- —
- Last updated
- August 13, 2012
Weave Your Life LLC is a healthcare organization based in Southington, CT. Weave Your Life LLC practices in Southington, CT. The NPI Number for Weave Your Life LLC is 1104149293 and holds a License No. 006194 (CT). The current practice location address for Weave Your Life LLC is 963 Queen St, Suite C, Southington, CT 06489-1282 and can be reached out via phone at 860-819-8570.
Provider Profile Details
- NPI Number
- 1104149293
- Provider Name
- Weave Your Life LLC
- Provider Entity Type
- Organization
- Address
- 963 Queen St, Suite C, Southington, CT 06489-1282
- Phone Number
- 860-819-8570
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Audrey L Bennett · Manager · 860-819-8570
- Provider Enumeration Date
- March 4, 2010
- Last Update Date
- August 13, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 963 Queen St
Suite C
Southington, CT 06489-1282 - City
- Southington
- State
- Connecticut
- Zip
- 06489-1282
- Phone Number
- 860-819-8570
Provider Business Mailing Address Details
- Address
- 963 Queen St
Suite C
Southington, CT 06489-1282 - City
- Southington
- State
- CT
- Zip
- 06489-1282
- Phone Number
- 860-819-8570
License Information
- License Number (1)
- 006194
- License State (1)
- CT
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- License Number (2)
- 000729
- License State (2)
- CT
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- License Number (3)
- 006194
- License State (3)
- CT
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Weave Your Life LLC?
The NPI number of Weave Your Life LLC is 1104149293. It was assigned on March 4, 2010 and is currently active in the NPPES registry.
What is the specialty of Weave Your Life LLC?
Weave Your Life LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006194.
Where does Weave Your Life LLC practice?
The practice location is 963 Queen St, Suite C, Southington, CT 06489-1282. The office can be reached at 860-819-8570 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104149293 directly on the NPPES registry website.