Personal Healing Clinical Services Llc

Clinical Social Worker · East Haven, CT

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At a glance

36 Main St Unit 8, East Haven, CT 06512-2524

NPPES record updated Oct 27, 2023. Public records can lag behind changes at a practice.

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Practice location

36 Main St Unit 8
East Haven, CT 06512-2524
Professional details: NPI, taxonomy & registry record
NPI1033562608
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Jul 19, 2016
Record updated
Oct 27, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License reported: 007408 CT

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

36 Main St Unit 8
East Haven, CT 06512-2524
Phone
(860) 989-9504
Fax
(203) 672-1813
Mailing address
38 WOODHAVEN RD

ROCKY HILL, CT 060671045
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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