| Revived Connections Llc | |
|
19 Mountain Rd Colchester CT 06415-2711 | |
| (860) 794-5710 | |
| Not Available |
| Full Name | Revived Connections Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19 Mountain Rd, Colchester, Connecticut |
| Authorized Official Name and Position | Jennifer Schaefer (OWNER) |
| Authorized Official Contact | 8603930887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revived Connections Llc 19 Mountain Rd Colchester CT 06415-2711 Ph: (860) 794-5710 | Revived Connections Llc 19 Mountain Rd Colchester CT 06415-2711 Ph: (860) 794-5710 |
| NPI Number | 1306698477 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306698477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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