Cultivating Change Counseling Services, LLC

Organization Active NPI Counselor · Tolland, CT

NPI 1275959769 · NPPES record last updated Apr 2, 2015

Key facts

NPI
1275959769
Entity type
Organization (NPI type 2)
Primary specialty
Counselor 101Y00000X
Legal business name
CULTIVATING CHANGE COUNSELING SERVICES, LLC
Practice address
392 Merrow Rd Ste B
Tolland, CT 06084-3974
Phone
(860) 965-2443
NPI assigned
Mar 9, 2014
Organization subpart
No

Authorized official

Name
Christine Brenton, LPC, LADC
Title
Clinician/Manager
Phone
(860) 965-2443

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101Y00000X Yes
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X 000964 CT
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X 002338 CT
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X 6217 CT
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X 001475 CT

Addresses

Primary practice location

392 Merrow Rd Ste B
Tolland, CT 06084-3974

Mailing address

4 Gloria LN
Ellington, CT 06029-2609
Phone (860) 965-2443

Other providers in Tolland, CT

All providers in Tolland, CT · Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.