Healthcare Provider Details

I. General information

NPI: 1346648037
Provider Name (Legal Business Name): SEEKING YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2014
Last Update Date: 12/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MAIN ST
WETHERSFIELD CT
06109-1826
US

IV. Provider business mailing address

83 HARTFORD AVE
WETHERSFIELD CT
06109-1807
US

V. Phone/Fax

Practice location:
  • Phone: 860-805-0354
  • Fax:
Mailing address:
  • Phone: 860-805-0354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8293
License Number StateCT

VIII. Authorized Official

Name: LORI A THULEN
Title or Position: OWNER
Credential: LCSW
Phone: 860-805-0354