Growing Potential Services:Therapeutic and Behavioral Solutions, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2378 Issued in CT

Legal business name

GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC

Practice address

25 High St
Enfield, CT 06082

Phone

(606) 986-0778

Fax

(860) 698-6631

NPI assigned

Jun 20, 2013

Organization subpart

No

Name

Marcy Taliceo, LPC, LMHCNPI 1114216223

Title

Clinical Director

Phone

(860) 698-6077

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

• Marcy Taliceo, MA, LMHC, LPC

  • Professional Counselor
  • Enfield, CT
  • NPI 1114216223
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2019.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1336588607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGH ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823410",
            "telephone_number": "860-698-6077",
            "fax_number": "860-698-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGH ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "606-986-0778",
            "fax_number": "860-698-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TALICEO",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "860-698-6077",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "2378",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "8146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008045179",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Grillo
• Christine Grimaldi
• Damien C Grimsley, LMT
• Gabriella Groszyk
• Kaitlin Grout
• Kimberly Grzybowski
• Sarah K Guevara, FNP
• Alexis R Guimond
• Kira S Guliyev
• Canan Gunay, M.D.

• All providers in Enfield, CT
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.