Peace Connection PLLC
Social Worker, Clinical in Mystic, Connecticut
1306564976- Practice location
- 12 Roosevelt Ave Ste 2, Mystic, CT 06355-2832
- Phone
- 860-485-7992
- Fax
- —
- Last updated
- January 22, 2025
Peace Connection PLLC is a healthcare organization based in Mystic, CT. Peace Connection PLLC practices in Mystic, CT. The NPI Number for Peace Connection PLLC is 1306564976. The current practice location address for Peace Connection PLLC is 12 Roosevelt Ave Ste 2, Mystic, CT 06355-2832 and can be reached out via phone at 860-485-7992.
Provider Profile Details
- NPI Number
- 1306564976
- Provider Name
- Peace Connection PLLC
- Provider Entity Type
- Organization
- Address
- 12 Roosevelt Ave Ste 2, Mystic, CT 06355-2832
- Phone Number
- 860-485-7992
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Jeannine Cleaver, LCSW · Owner · 860-245-9840
- Provider Enumeration Date
- August 18, 2022
- Last Update Date
- January 22, 2025
- Certification Date
- January 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Roosevelt Ave Ste 2
Mystic, CT 06355-2832 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-2832
- Phone Number
- 860-485-7992
Provider Business Mailing Address Details
- Address
- 11 Boston Post RD Fl 2
Waterford, CT 06385-2401 - City
- Waterford
- State
- CT
- Zip
- 06385-2401
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
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 Peace Connection PLLC?
The NPI number of Peace Connection PLLC is 1306564976. It was assigned on August 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Peace Connection PLLC?
Peace Connection PLLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Peace Connection PLLC practice?
The practice location is 12 Roosevelt Ave Ste 2, Mystic, CT 06355-2832. The office can be reached at 860-485-7992 (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 1306564976 directly on the NPPES registry website.