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Organization

CREATE SPACE WELLNESS SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TABIA L THORNTON-BEY LCSW (CEO/ FOUNDER)
(860) 869-2021
Entity
Organization

Contact information

Practice address
330 MAIN ST FL 2, HARTFORD, CT 06106-1851
(860) 869-2021
Mailing address
45 HARTZ LN, EAST HARTFORD, CT 06118-1718
(860) 869-2021

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/31/2023
Last updated
10/31/2023
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