| Growing Success Child & Family Therapy, Llc | |
|
164 E Center St Manchester CT 06040-5241 | |
| (860) 613-5545 | |
| (860) 370-3958 |
| Full Name | Growing Success Child & Family Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 164 E Center St, Manchester, Connecticut |
| Authorized Official Name and Position | Danielle Nardone (OWNER/THERAPIST) |
| Authorized Official Contact | 8605397220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Success Child & Family Therapy, Llc 164 E Center St Manchester CT 06040-5241 Ph: (860) 613-5545 | Growing Success Child & Family Therapy, Llc 164 E Center St Manchester CT 06040-5241 Ph: (860) 613-5545 |
| NPI Number | 1508345604 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Medicare PECOS PAC ID | 3274934781 |
|---|---|
| Medicare Enrollment ID | O20210622000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508345604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009891 (Connecticut) | Primary |
| Provider Name | Danielle Nardone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386189645 PECOS PAC ID: 0840556957 Enrollment ID: I20171106002294 |
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