Healthcare Provider Details

I. General information

NPI: 1346158177
Provider Name (Legal Business Name): ROSE CITY MOVEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 FRANKLIN ST
NORWICH CT
06360-5806
US

IV. Provider business mailing address

66 FRANKLIN ST
NORWICH CT
06360-5806
US

V. Phone/Fax

Practice location:
  • Phone: 860-419-7211
  • Fax:
Mailing address:
  • Phone: 860-419-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: DR. GIZELLE EDITH TIRCUIT
Title or Position: CODIRECTOR
Credential: PH.D.
Phone: 860-860-8615