Organization
CRESCENT COUNSELING AND WELLNESS LLC
Active
Other names
Crescent Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TAVIA-SIMONE BASCUINE LCSW (OWNER)
(203) 285-8709
Entity
Organization
Contact information
Practice address
315 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5867
(203) 449-8299
Mailing address
115 MAIN STREET, #143, EAST BERLIN, CT 06023
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/09/2022
Last updated
08/17/2022
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