| Advanced Psychotherapy Practice Llc | |
|
84 Lines Pl Stratford CT 06615-6409 | |
| (203) 526-1959 | |
| (203) 549-0640 |
| Full Name | Advanced Psychotherapy Practice Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 84 Lines Pl, Stratford, Connecticut |
| Authorized Official Name and Position | Leshae Rice (OWNER) |
| Authorized Official Contact | 2039081076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychotherapy Practice Llc 84 Lines Pl Stratford CT 06615-6409 Ph: (203) 908-1076 | Advanced Psychotherapy Practice Llc 84 Lines Pl Stratford CT 06615-6409 Ph: (203) 526-1959 |
| NPI Number | 1982349320 |
|---|---|
| Provider Enumeration Date | 04/30/2022 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982349320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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