Organization
CONNECTING HEARTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY GILLMAN LMFT (LICENSED MARRIAGE AND FAMILY THERAP)
(860) 428-3400
Entity
Organization
Contact information
Practice address
542 HOPMEADOW ST STE 305, SIMSBURY, CT 06070-5405
(860) 428-3400
Mailing address
542 HOPMEADOW ST STE 305, SIMSBURY, CT 06070-5405
(860) 428-3400
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649585068
INDIVIDUAL NPI
CT
Enumeration date
06/11/2019
Last updated
11/20/2019
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