| Life Changes, Llc | |
|
193 Main St Middletown CT 06457-3423 | |
| (860) 944-1171 | |
| (860) 829-1550 |
| Full Name | Life Changes, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 193 Main St, Middletown, Connecticut |
| Authorized Official Name and Position | Andrew Brooks Degling (OWNER) |
| Authorized Official Contact | 8609441171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changes, Llc 147 Main St East Berlin CT 06023-1136 Ph: (860) 944-1171 | Life Changes, Llc 193 Main St Middletown CT 06457-3423 Ph: (860) 944-1171 |
| NPI Number | 1902107428 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902107428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001763 (Connecticut) | Primary |
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