Coastal Therapy, Llc | |
428 Long Hill Rd Ste 201 Groton CT 06340-3811 | |
(860) 614-3548 | |
Not Available |
Full Name | Coastal Therapy, Llc |
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Speciality | Counselor - Professional |
Location | 428 Long Hill Rd Ste 201, Groton, Connecticut |
Authorized Official Name and Position | Terri Fogg Donovan (BILLING DEPT) |
Authorized Official Contact | 8605359922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Therapy, Llc 117 N Stonington Rd Mystic CT 06355-3608 Ph: (860) 614-3548 | Coastal Therapy, Llc 428 Long Hill Rd Ste 201 Groton CT 06340-3811 Ph: (860) 614-3548 |
NPI Number | 1437714730 |
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Provider Enumeration Date | 05/02/2019 |
Last Update Date | 05/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437714730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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