| Emotional Revival Llc | |
|
130 Hoffman Rd Ellington CT 06029-2421 | |
| (860) 593-6310 | |
| Not Available |
| Full Name | Emotional Revival Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 130 Hoffman Rd, Ellington, Connecticut |
| Authorized Official Name and Position | Rossana Silva Spriggs (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8605936310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotional Revival Llc 130 Hoffman Rd Ellington CT 06029-2421 Ph: (860) 593-6310 | Emotional Revival Llc 130 Hoffman Rd Ellington CT 06029-2421 Ph: (860) 593-6310 |
| NPI Number | 1972211563 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972211563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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