| Coffee House Counseling Llc | |
|
314 Flanders Rd Ste 2d East Lyme CT 06333-1727 | |
| (860) 415-6008 | |
| Not Available |
| Full Name | Coffee House Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 314 Flanders Rd Ste 2d, East Lyme, Connecticut |
| Authorized Official Name and Position | Erin Harings (OWNER AND FOUNDER) |
| Authorized Official Contact | 8604156008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffee House Counseling Llc 314 Flanders Rd Ste 2d East Lyme CT 06333-1727 Ph: () - | Coffee House Counseling Llc 314 Flanders Rd Ste 2d East Lyme CT 06333-1727 Ph: (860) 415-6008 |
| NPI Number | 1114645660 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114645660 | NPI | - | NPPES |
| 008061508 | Medicaid | CT | |
| 1609288893 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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