Peace Connection Pllc | |
12 Roosevelt Ave Ste 2 Mystic CT 06355-2832 | |
(860) 485-7992 | |
Not Available |
Full Name | Peace Connection Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 12 Roosevelt Ave Ste 2, Mystic, Connecticut |
Authorized Official Name and Position | Jeannine Cleaver (OWNER) |
Authorized Official Contact | 8602459840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peace Connection Pllc 11 Boston Post Rd Fl 2 Waterford CT 06385-2401 Ph: () - | Peace Connection Pllc 12 Roosevelt Ave Ste 2 Mystic CT 06355-2832 Ph: (860) 485-7992 |
NPI Number | 1306564976 |
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Provider Enumeration Date | 08/18/2022 |
Last Update Date | 01/22/2025 |
Certification Date | 01/22/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306564976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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