| Art Of Therapy, Llc. | |
|
925 Sullivan Ave Unit 2 South Windsor CT 06074-2025 | |
| (860) 432-7771 | |
| Not Available |
| Full Name | Art Of Therapy, Llc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 925 Sullivan Ave, South Windsor, Connecticut |
| Authorized Official Name and Position | Stacey Hansen (OWNER) |
| Authorized Official Contact | 8602144695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Art Of Therapy, Llc. 925 Sullivan Ave Unit 2 South Windsor CT 06074-2025 Ph: (860) 432-7771 | Art Of Therapy, Llc. 925 Sullivan Ave Unit 2 South Windsor CT 06074-2025 Ph: (860) 432-7771 |
| NPI Number | 1134513062 |
|---|---|
| Provider Enumeration Date | 03/28/2015 |
| Last Update Date | 07/01/2015 |
| Medicare PECOS PAC ID | 4486095197 |
|---|---|
| Medicare Enrollment ID | O20240513002209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134513062 | NPI | - | NPPES |
| 008058934 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001227 (Connecticut) | Primary |
| Provider Name | Stacey Mae Hansen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336385871 PECOS PAC ID: 5395186001 Enrollment ID: I20240513002333 |
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