Healthcare Provider Details

I. General information

NPI: 1548050495
Provider Name (Legal Business Name): CREATURE COMFORT COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 POQUONNOCK RD STE 2
GROTON CT
06340-6630
US

IV. Provider business mailing address

16 HIGHVIEW TER
LEDYARD CT
06339-1514
US

V. Phone/Fax

Practice location:
  • Phone: 860-772-7161
  • Fax:
Mailing address:
  • Phone: 861-772-7161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA HEUSCHELE
Title or Position: MANAGING PARTNER
Credential: LCSW
Phone: 860-772-7161