| Lifespring, Llc | |
|
236 Boston Post Rd Orange CT 06477 | |
| (203) 687-3096 | |
| Not Available |
| Full Name | Lifespring, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 236 Boston Post Rd, Orange, Connecticut |
| Authorized Official Name and Position | Mary Robbins (DIRECTOR) |
| Authorized Official Contact | 2036873096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespring, Llc 236 Boston Post Rd Orange CT 06477-3236 Ph: (203) 687-3096 | Lifespring, Llc 236 Boston Post Rd Orange CT 06477 Ph: (203) 687-3096 |
| NPI Number | 1316470644 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316470644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3121 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 005546 (Connecticut) | Primary |
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