Active NPIOrganization

Growing Potential Services:therapeutic And Behavioral Solutions, PC

Community/Behavioral Health in Enfield, Connecticut

NPI Number1336588607
Practice location
25 High St, Enfield, CT 06082
Fax
860-698-6631
Last updated
June 11, 2019

Growing Potential Services:therapeutic And Behavioral Solutions, PC is a healthcare organization based in Enfield, CT. Growing Potential Services:therapeutic And Behavioral Solutions, PC practices in Enfield, CT. The NPI Number for Growing Potential Services:therapeutic And Behavioral Solutions, PC is 1336588607 and holds a License No. 8146 (MA). The current practice location address for Growing Potential Services:therapeutic And Behavioral Solutions, PC is 25 High St, Enfield, CT 06082 and can be reached out via phone at 606-986-0778 and via fax at 860-698-6631.

Provider Profile Details

NPI Number
1336588607
Provider Name
Growing Potential Services:therapeutic And Behavioral Solutions, PC
Provider Entity Type
Organization
Address
25 High St, Enfield, CT 06082
Phone Number
606-986-0778
Fax Number
860-698-6631
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Marcy Taliceo, LPC, LMHC · Clinical Director · 860-698-6077
Provider Enumeration Date
June 20, 2013
Last Update Date
June 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 High St
Enfield, CT 06082
Zip
06082
Phone Number
606-986-0778
Fax Number
860-698-6631
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
25 High St
Enfield, CT 06082-3410
City
Enfield
State
CT
Zip
06082-3410
Phone Number
860-698-6077
Fax Number
860-698-6631

License Information

License Number (1)
8146
License State (1)
MA
Taxonomy (1)
Community/Behavioral Health · 251S00000X
License Number (2)
2378
License State (2)
CT
Taxonomy (2)
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Growing Potential Services:therapeutic And Behavioral Solutions, PC?

The NPI number of Growing Potential Services:therapeutic And Behavioral Solutions, PC is 1336588607. It was assigned on June 20, 2013 and is currently active in the NPPES registry.

What is the specialty of Growing Potential Services:therapeutic And Behavioral Solutions, PC?

Growing Potential Services:therapeutic And Behavioral Solutions, PC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in MA under license number 8146.

Where does Growing Potential Services:therapeutic And Behavioral Solutions, PC practice?

The practice location is 25 High St, Enfield, CT 06082. The office can be reached at 606-986-0778 (phone) or 860-698-6631 (fax).

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 1336588607 directly on the NPPES registry website.

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