| Advanced Solutions Therapy Center Llc | |
|
1138 West Main St Advanced Solutions Therapy Center Llc Waterbury CT 06708 | |
| (203) 755-0707 | |
| (203) 755-9275 |
| Full Name | Advanced Solutions Therapy Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1138 West Main St, Waterbury, Connecticut |
| Authorized Official Name and Position | Nancy S Monocchi (OWNER THERAPIST) |
| Authorized Official Contact | 2037550707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Solutions Therapy Center Llc 1138 West Main St Advanced Solutions Therapy Center Llc Waterbury CT 06708 Ph: (203) 755-0707 | Advanced Solutions Therapy Center Llc 1138 West Main St Advanced Solutions Therapy Center Llc Waterbury CT 06708 Ph: (203) 755-0707 |
| NPI Number | 1295869196 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295869196 | NPI | - | NPPES |
| 004255156 | Medicaid | CT | |
| 004254041 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0004361LCSW (Connecticut) | Secondary |
| 106H00000X | Marriage & Family Therapist | 000782LMFT (Connecticut) | Primary |
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