| Living Awareness, Llc | |
|
17 S Highland St West Hartford CT 06119-1826 | |
| (860) 680-8560 | |
| Not Available |
| Full Name | Living Awareness, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 17 S Highland St, West Hartford, Connecticut |
| Authorized Official Name and Position | Teressa U Cohen (OWNER) |
| Authorized Official Contact | 8606808560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Awareness, Llc 12 Townsend Rd Farmington CT 06032-1569 Ph: (860) 680-8560 | Living Awareness, Llc 17 S Highland St West Hartford CT 06119-1826 Ph: (860) 680-8560 |
| NPI Number | 1184236440 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184236440 | NPI | - | NPPES |
| 1851929095 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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