| Central Connecticut Psychotherapy Llc | |
|
23 Liberty Dr Suite 23 B-1 Hebron CT 06248 | |
| (860) 337-7144 | |
| (860) 337-7155 |
| Full Name | Central Connecticut Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 23 Liberty Dr, Hebron, Connecticut |
| Authorized Official Name and Position | Maureen Pickup (SOLE MEMBER) |
| Authorized Official Contact | 8603377144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Connecticut Psychotherapy Llc 23 Liberty Dr Suite B-1 Hebron CT 06248-1553 Ph: (860) 337-7144 | Central Connecticut Psychotherapy Llc 23 Liberty Dr Suite 23 B-1 Hebron CT 06248 Ph: (860) 337-7144 |
| NPI Number | 1578704219 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 03/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578704219 | NPI | - | NPPES |
| 1033187539 | Other | CT | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 006447 (Connecticut) | Primary |
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