Organization
REFLECTIONS OF CHESTER, HEALTH & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY SPLITTGERBER APRN (OWNER)
(860) 526-4212
Entity
Organization
Contact information
Practice address
19 N MAIN ST, CHESTER, CT 06412-1201
(860) 526-4212
(860) 526-2203
Mailing address
19 N MAIN ST, CHESTER, CT 06412-1201
(860) 526-4212
(860) 526-2203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001047
CT
103T00000X
Psychologist
001047
CT
1041C0700X
Clinical Social Worker
001047
CT
106H00000X
Marriage & Family Therapist
001047
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
001047
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
001047
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004199180
—
CT
Enumeration date
07/09/2014
Last updated
04/19/2016
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