| Holistic Le Clinical Service | |
|
12 Bear Ridge Dr Bloomfield CT 06002-1108 | |
| (860) 830-5130 | |
| Not Available |
| Full Name | Holistic Le Clinical Service |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12 Bear Ridge Dr, Bloomfield, Connecticut |
| Authorized Official Name and Position | Lisa Marie Turner (CEO/LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 1868830513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Le Clinical Service 12 Bear Ridge Dr Bloomfield CT 06002-1108 Ph: (860) 830-5130 | Holistic Le Clinical Service 12 Bear Ridge Dr Bloomfield CT 06002-1108 Ph: (860) 830-5130 |
| NPI Number | 1417650086 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417650086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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