| Destined To Thrive, Llc | |
|
11 Nelson Dr Enfield CT 06082-6105 | |
| (860) 729-9057 | |
| Not Available |
| Full Name | Destined To Thrive, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 Nelson Dr, Enfield, Connecticut |
| Authorized Official Name and Position | Brandy Williams (OWNER) |
| Authorized Official Contact | 8607299057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destined To Thrive, Llc 31 Palomba Dr Unit 608 Enfield CT 06083-7726 Ph: (860) 729-9057 | Destined To Thrive, Llc 11 Nelson Dr Enfield CT 06082-6105 Ph: (860) 729-9057 |
| NPI Number | 1245956267 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245956267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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