Deborah S Grove LMFT LLC
Organization Active NPI Marriage & Family Therapist · Prospect, CT
NPI 1598528267 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1598528267
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- DEBORAH S GROVE LMFT LLC
- Practice address
- 16 Rolling Ridge CT
Prospect, CT 06712-1737 - Phone
- (203) 464-6460
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Deborah Grove
- Title
- Owner
- Phone
- (203) 464-6460
Practitioners 1
-
Deborah Grove, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260226000040 | CT | Part B Supplier - Clinic/Group Practice | 7810478930 |
Receives reassigned benefits from 1 practitioner Practice locations: Prospect, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
16 Rolling Ridge CT
Prospect, CT 06712-1737
Mailing address
16 Rolling Ridge CT
Prospect, CT 06712-1737
Phone (203) 464-6460
Other providers in Prospect, CT
- Kathryn Cyr
- Michael A D'Aquila
- Jeffrey Paul Dalessandro
- Dredhza Dauti
- Carolyn Davis
- Carol Denomme
- Amy Destefano
- Kim Patrick Devaney
- Michael Devine
- Diabetes Care Center LLC
All providers in Prospect, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.