| Lightheart Institute, Llc | |
|
68 Bridge St Ste 203a Suffield CT 06078-2173 | |
| (860) 254-5582 | |
| (860) 254-5508 |
| Full Name | Lightheart Institute, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 68 Bridge St Ste 203a, Suffield, Connecticut |
| Authorized Official Name and Position | Kathryn Mary Tkacz (OWNER/CLINICAIN) |
| Authorized Official Contact | 8602545582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightheart Institute, Llc 68 Bridge St Ste 203a Suffield CT 06078-2173 Ph: (860) 254-5582 | Lightheart Institute, Llc 68 Bridge St Ste 203a Suffield CT 06078-2173 Ph: (860) 254-5582 |
| NPI Number | 1205135027 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205135027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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