Healthcare Provider Details

I. General information

NPI: 1760804942
Provider Name (Legal Business Name): 3B WELLNESS COUNSELING AND COACHING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 MAIN ST 2ND FLOOR
EAST HARTFORD CT
06118-3243
US

IV. Provider business mailing address

PO BOX 208
GLASTONBURY CT
06033-0208
US

V. Phone/Fax

Practice location:
  • Phone: 860-604-0006
  • Fax: 888-972-7956
Mailing address:
  • Phone: 860-604-0004
  • Fax: 888-972-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001796
License Number StateCT

VIII. Authorized Official

Name: REBECCA JANE TURGEON
Title or Position: OWNER
Credential: LPC
Phone: 860-604-0006