Diane Smith Counseling Llc | |
79 Cedar Rd Mystic CT 06355-2163 | |
(860) 705-5636 | |
Not Available |
Full Name | Diane Smith Counseling Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 79 Cedar Rd, Mystic, Connecticut |
Authorized Official Name and Position | Diane Smith (OWNER) |
Authorized Official Contact | 8607055636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diane Smith Counseling Llc 153 Boston Post Rd # 418 East Lyme CT 06333-1605 Ph: (860) 705-5636 | Diane Smith Counseling Llc 79 Cedar Rd Mystic CT 06355-2163 Ph: (860) 705-5636 |
NPI Number | 1164004321 |
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Provider Enumeration Date | 04/26/2021 |
Last Update Date | 04/26/2021 |
Certification Date | 04/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164004321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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