Changing Faces Llc | |
4 Dexter St Windsor CT 06095-4410 | |
(860) 201-3688 | |
Not Available |
Full Name | Changing Faces Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4 Dexter St, Windsor, Connecticut |
Authorized Official Name and Position | Nichole Mayweather-banks (OWNER) |
Authorized Official Contact | 8602013688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Changing Faces Llc Po Box 375 Windsor CT 06095-4410 Ph: (860) 201-3688 | Changing Faces Llc 4 Dexter St Windsor CT 06095-4410 Ph: (860) 201-3688 |
NPI Number | 1487368395 |
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Provider Enumeration Date | 01/06/2023 |
Last Update Date | 01/06/2023 |
Certification Date | 01/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487368395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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