| Jade Psychotherapy Llc | |
|
59 Burning Tree Rd Greenwich CT 06830-3505 | |
| (203) 609-1679 | |
| Not Available |
| Full Name | Jade Psychotherapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 59 Burning Tree Rd, Greenwich, Connecticut |
| Authorized Official Name and Position | Anna Marie Birchenough (OWNER) |
| Authorized Official Contact | 2036091679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Psychotherapy Llc 59 Burning Tree Rd Greenwich CT 06830-3505 Ph: (203) 609-1679 | Jade Psychotherapy Llc 59 Burning Tree Rd Greenwich CT 06830-3505 Ph: (203) 609-1679 |
| NPI Number | 1730838004 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730838004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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