Organization
ACHIEVHER PERFECTION
Active
Other names
Achievher perfection- Assurgent Healing, Assurgent Healing
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA EDWARDS (OWNER)
(860) 680-4000
Entity
Organization
Contact information
Practice address
2 IVORY RD, BLOOMFIELD, CT 06002-2607
(860) 680-4000
Mailing address
2 IVORY RD, BLOOMFIELD, CT 06002-2607
(860) 680-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008097698
—
CT
Enumeration date
11/18/2020
Last updated
12/17/2020
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