| Radiant Beginning Llc | |
|
433 Silas Deane Hwy Wethersfield CT 06109-2123 | |
| (860) 940-0301 | |
| Not Available |
| Full Name | Radiant Beginning Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 433 Silas Deane Hwy, Wethersfield, Connecticut |
| Authorized Official Name and Position | Suany M Gomez (CLINICIAN) |
| Authorized Official Contact | 8609400301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Beginning Llc 59 Catherine St Hartford CT 06106-3519 Ph: (860) 997-5158 | Radiant Beginning Llc 433 Silas Deane Hwy Wethersfield CT 06109-2123 Ph: (860) 940-0301 |
| NPI Number | 1538775945 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/21/2020 |
| Certification Date | 09/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538775945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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