| Live In Truth Therapeutic Services Llc | |
|
1224 Mill St Bldg B East Berlin CT 06023-1159 | |
| (860) 840-7390 | |
| Not Available |
| Full Name | Live In Truth Therapeutic Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1224 Mill St Bldg B, East Berlin, Connecticut |
| Authorized Official Name and Position | Martina Jackson (OWNER) |
| Authorized Official Contact | 8608407390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live In Truth Therapeutic Services Llc 1224 Mill St Bldg B East Berlin CT 06023-1159 Ph: (860) 840-7390 | Live In Truth Therapeutic Services Llc 1224 Mill St Bldg B East Berlin CT 06023-1159 Ph: (860) 840-7390 |
| NPI Number | 1437720745 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 07/07/2021 |
| Certification Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437720745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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