| Georgianna Sloate Lmft, Llc | |
|
38 Kelley Street Bristol CT 06010 | |
| (860) 205-3672 | |
| Not Available |
| Full Name | Georgianna Sloate Lmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 38 Kelley Street, Bristol, Connecticut |
| Authorized Official Name and Position | Georgianna Sloate (DIRECTOR) |
| Authorized Official Contact | 8602053672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgianna Sloate Lmft, Llc 45 S Street Ext Bristol CT 06010-6416 Ph: () - | Georgianna Sloate Lmft, Llc 38 Kelley Street Bristol CT 06010 Ph: (860) 205-3672 |
| NPI Number | 1154981777 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154981777 | NPI | - | NPPES |
| 008013921 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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