Headspace LLC

NPI #1083229355 in Wethersfield, Connecticut

Provider Information

NPI Number: 1083229355
Entity Type: Organization
Organization Name: Headspace LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 13, 2020
Last Updated: Sep 13, 2020

Practice Location

Address: 433 SILAS DEANE HWY
City: Wethersfield
State: Connecticut
ZIP Code: 06109-2123
Phone: (860) 837-0300

Authorized Official

Name: MS. SAMANTHA BURGOS, LCSW
Title: OWNER
Phone: (860) 837-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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