Healthcare Provider Details

I. General information

NPI: 1750992244
Provider Name (Legal Business Name): THREADED CONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 MAIN ST STE 3-3C
MANCHESTER CT
06040-6034
US

IV. Provider business mailing address

867 MAIN ST STE 3-3C
MANCHESTER CT
06040-6034
US

V. Phone/Fax

Practice location:
  • Phone: 860-967-1126
  • Fax:
Mailing address:
  • Phone: 860-967-1126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MYRNEL GEGU
Title or Position: SOCIAL WORKER
Credential: LCSW
Phone: 860-967-1126