Changing Faces LLC
NPI #1487368395 in Windsor, Connecticut
Provider Information
- NPI Number
- 1487368395
- Entity Type
- Organization
- Organization Name
- Changing Faces LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 6, 2023
- Last Updated
- Jan 6, 2023
Practice Location
- Address
- 4 DEXTER ST
- City
- Windsor
- State
- Connecticut
- ZIP Code
- 06095-4410
- Phone
- (860) 201-3688
Authorized Official
- Name
- NICHOLE MAYWEATHER-BANKS, LCSW
- Title
- OWNER
- Phone
- (860) 201-3688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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