Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collaborative Cancer Care

Organization Mental Health Counselor · NPI 1396516381

Collaborative Cancer Care is a Mental Health Counselor in Manchester, Connecticut. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5

Practice location Address checks out

112 Spencer St Ste 2
Manchester, CT 06040-4601
Phone: (860) 245-8853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1396516381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Garvin — Nurse Practitioner · (617) 650-3391
Other names Collaborative Cancer Care
NPI enumeratedJanuary 10, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address8 Birchwood Rd, East Hartford, CT 06118-1702

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