Organization
GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC
Active
Organization
GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY TALICEO LPC, LMHC (CLINICAL DIRECTOR)
(860) 698-6077
Entity
Organization
Contact information
Practice address
25 HIGH ST, ENFIELD, CT 06082
(606) 986-0778
(860) 698-6631
Mailing address
25 HIGH ST, ENFIELD, CT 06082-3410
(860) 698-6077
(860) 698-6631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2378
CT
251S00000X
Community/Behavioral Health Agency
8146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008045179
—
CT
Enumeration date
06/20/2013
Last updated
06/11/2019
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