Provider Demographics
NPI:1710478961
Name:PEACEFUL CONNECTIONS, PLLC
Entity Type:Organization
Organization Name:PEACEFUL CONNECTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ADITI
Authorized Official - Middle Name:H
Authorized Official - Last Name:GOHIL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-912-8055
Mailing Address - Street 1:567 VAUXHALL STREET EXT STE 303
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-4341
Mailing Address - Country:US
Mailing Address - Phone:860-800-2421
Mailing Address - Fax:860-308-1541
Practice Address - Street 1:567 VAUXHALL STREET EXT STE 303
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-4341
Practice Address - Country:US
Practice Address - Phone:860-800-2421
Practice Address - Fax:860-308-1541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2760101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty