Becoming Suryani Llc | |
17 S Highland St West Hartford CT 06119-1826 | |
(860) 258-4171 | |
Not Available |
Full Name | Becoming Suryani Llc |
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Speciality | Counselor - Mental Health |
Location | 17 S Highland St, West Hartford, Connecticut |
Authorized Official Name and Position | Sydni E Marmor (OWNER) |
Authorized Official Contact | 2035212439 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Becoming Suryani Llc 560 Opening Hill Rd Madison CT 06443-8203 Ph: (203) 521-2439 | Becoming Suryani Llc 17 S Highland St West Hartford CT 06119-1826 Ph: (860) 258-4171 |
NPI Number | 1801495734 |
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Provider Enumeration Date | 10/21/2020 |
Last Update Date | 10/21/2020 |
Certification Date | 10/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801495734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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