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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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