STARFISH FAMILY CONNECTIONS, LLC


Address: 1367 Hanover Ave Apt 602, Meriden, CT 06451-6278
Phone: 2034407798

STARFISH FAMILY CONNECTIONS, LLC (NPI# 1922630557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922630557
Entity Type Organization
Organization Name STARFISH FAMILY CONNECTIONS, LLC
Practice Address 1367 Hanover Ave Apt 602
Meriden
CT 06451-6278
Practice Telephone 2034407798
Mailing Telephone 2034407798
Enumeration Date 2020-02-11
Last Update Date 2020-02-11
Authorized Official Name MS. JULIETTE HODGE (CLINICIAN/OWNER)
Authorized Official Telephone 2034407798
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 1367 HANOVER AVE APT 602
City MERIDEN
State CT
Zip Code 06451-6278

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City MERIDEN
Zip Code 06451

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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