Glow Up Therapy
Social Worker, Clinical in Mystic, Connecticut
1265090500- Practice location
- 11 Main St, Mystic, CT 06355-3654
- Phone
- 860-772-4424
- Fax
- —
- Last updated
- June 11, 2019
Glow Up Therapy is a healthcare organization based in Mystic, CT. Glow Up Therapy practices in Mystic, CT. The NPI Number for Glow Up Therapy is 1265090500. The current practice location address for Glow Up Therapy is 11 Main St, Mystic, CT 06355-3654 and can be reached out via phone at 860-772-4424.
Provider Profile Details
- NPI Number
- 1265090500
- Provider Name
- Glow Up Therapy
- Provider Entity Type
- Organization
- Address
- 11 Main St, Mystic, CT 06355-3654
- Phone Number
- 860-772-4424
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Amanda Jelden, LCSW · Co-Owner · 860-772-4424
- Provider Enumeration Date
- June 2, 2019
- Last Update Date
- June 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Main St
Mystic, CT 06355-3654 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-3654
- Phone Number
- 860-772-4424
Provider Business Mailing Address Details
- Address
- 11 Main St
Mystic, CT 06355-3654 - City
- Mystic
- State
- CT
- Zip
- 06355-3654
License Information
- Taxonomy
- 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. | |||
Other Social Worker, Clinical providers near Mystic, CT
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- Daniel S Brown, LCSWSocial Worker, Clinical · NPI 1306553482
- Emma E Miller, LCSWSocial Worker, Clinical · NPI 1609240787
- Grounded Therapy & CoachingSocial Worker, Clinical · NPI 1467005736
- Jeannine Cleaver, LCSWSocial Worker, Clinical · NPI 1336591924
Frequently Asked Questions
What is the NPI number of Glow Up Therapy?
The NPI number of Glow Up Therapy is 1265090500. It was assigned on June 2, 2019 and is currently active in the NPPES registry.
What is the specialty of Glow Up Therapy?
Glow Up Therapy is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Glow Up Therapy practice?
The practice location is 11 Main St, Mystic, CT 06355-3654. The office can be reached at 860-772-4424 (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 1265090500 directly on the NPPES registry website.