| Open Space Therapy Llc | |
|
28 Higbie Dr East Hartford CT 06108-2840 | |
| (860) 995-0730 | |
| Not Available |
| Full Name | Open Space Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28 Higbie Dr, East Hartford, Connecticut |
| Authorized Official Name and Position | Jocelyn Flores (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8609950730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Space Therapy Llc 28 Higbie Dr East Hartford CT 06108-2840 Ph: (860) 995-0730 | Open Space Therapy Llc 28 Higbie Dr East Hartford CT 06108-2840 Ph: (860) 995-0730 |
| NPI Number | 1649892084 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649892084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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