And Therapy Collaborative LLC
Social Worker, Clinical in Middletown, CT. Organization (NPI-2).
NPI number1578334033
StatusActive
Last updated in NPPESFeb 20, 2024
Details
- NPI
- 1578334033
- Entity type
- Organization (NPI-2)
- Legal business name
- And Therapy Collaborative LLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2024
- Certification date
- Feb 20, 2024
- Last updated
- Feb 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Chelsea Poloski Therapy (Former Legal Business Name)
Practice location
386 Main Street4th And 5th Floors
Middletown, CT 06457
Phone 860-578-8550
Mailing address
386 Main Street4th And 5th Floors
Middletown, CT 06457
Phone 860-578-8550
Authorized official
Chelsea Poloski
Owner/Therapist
8608034244
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