| Life Happens | |
|
352 Route 87 Columbia CT 06237-1422 | |
| (860) 456-4567 | |
| Not Available |
| Full Name | Life Happens |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 352 Route 87, Columbia, Connecticut |
| Authorized Official Name and Position | Douglas R Lavine (OWNER) |
| Authorized Official Contact | 8604564567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Happens 352 Route 87 Columbia CT 06237-1422 Ph: (860) 456-4567 | Life Happens 352 Route 87 Columbia CT 06237-1422 Ph: (860) 456-4567 |
| NPI Number | 1245561836 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245561836 | NPI | - | NPPES |
| 11243163 | Other | CT | CAQH |
| 004113031 | Medicaid | CT | |
| 11243163 | Other | CT | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000652 (Connecticut) | Primary |
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