| Bespoke Therapy And Consulting | |
|
19a Weymouth Rd Enfield CT 06082-6006 | |
| (860) 491-7398 | |
| Not Available |
| Full Name | Bespoke Therapy And Consulting |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19a Weymouth Rd, Enfield, Connecticut |
| Authorized Official Name and Position | Dominique Shabazz (OWNER) |
| Authorized Official Contact | 8604917398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bespoke Therapy And Consulting 19a Weymouth Rd Enfield CT 06082-6006 Ph: (860) 491-7398 | Bespoke Therapy And Consulting 19a Weymouth Rd Enfield CT 06082-6006 Ph: (860) 491-7398 |
| NPI Number | 1134988157 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134988157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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