| Bethany Sauline Lpc Pllc | |
|
1153 Main St Coventry CT 06238-3115 | |
| (860) 281-1301 | |
| Not Available |
| Full Name | Bethany Sauline Lpc Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1153 Main St, Coventry, Connecticut |
| Authorized Official Name and Position | Bethany Sauline (OWNER) |
| Authorized Official Contact | 8602811301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Sauline Lpc Pllc 1153 Main St Coventry CT 06238-3115 Ph: (860) 281-1301 | Bethany Sauline Lpc Pllc 1153 Main St Coventry CT 06238-3115 Ph: (860) 281-1301 |
| NPI Number | 1396330684 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396330684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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