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Organization

CT KIDS MATTER LLC

Active
Find providers by NPI
Organization

CT KIDS MATTER LLC

Active
Other names
Bedrock Wellness, CT KIDS MATTER, CT Kids Matter LLC
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER R LASELLE PHD, LCSW,MS,MPA (EXECUTIVE CLINICAL DIRECTOR)
(203) 599-1492
Entity
Organization

Contact information

Practice address
345 HIGHLAND AVE STE 102, CHESHIRE, CT 06410-2550
(203) 599-1492
Mailing address
345 HIGHLAND AVE STE 102, CHESHIRE, CT 06410-2550
(203) 599-1492

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008083434
CT
Enumeration date
10/11/2018
Last updated
01/23/2025
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