| Healing Space | |
|
123 Farmington Ave Ste 156 Bristol CT 06010-4200 | |
| (203) 208-8372 | |
| Not Available |
| Full Name | Healing Space |
|---|---|
| Speciality | Counselor |
| Location | 123 Farmington Ave Ste 156, Bristol, Connecticut |
| Authorized Official Name and Position | Anthony Joseph Nave (OWNER) |
| Authorized Official Contact | 8604800006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Space 123 Farmington Ave Ste 156 Bristol CT 06010-4200 Ph: (203) 208-8372 | Healing Space 123 Farmington Ave Ste 156 Bristol CT 06010-4200 Ph: (203) 208-8372 |
| NPI Number | 1417690579 |
|---|---|
| Provider Enumeration Date | 04/17/2022 |
| Last Update Date | 04/17/2022 |
| Certification Date | 04/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417690579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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