| Life Balance Counseling Ct, Llc | |
|
11 Main St Mystic CT 06355-3654 | |
| (860) 717-2007 | |
| Not Available |
| Full Name | Life Balance Counseling Ct, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11 Main St, Mystic, Connecticut |
| Authorized Official Name and Position | Joan Elise Forbes (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8607172007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Balance Counseling Ct, Llc 69 West Woodland Drive Lebanon CT 06249 Ph: (860) 717-2007 | Life Balance Counseling Ct, Llc 11 Main St Mystic CT 06355-3654 Ph: (860) 717-2007 |
| NPI Number | 1760940175 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 05/01/2020 |
| Certification Date | 05/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760940175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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