| Lori Orend, Lcsw Llc | |
|
234 Main St Portland CT 06480-1861 | |
| (860) 754-4091 | |
| Not Available |
| Full Name | Lori Orend, Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 234 Main St, Portland, Connecticut |
| Authorized Official Name and Position | Lori Orend (MEMBER MANAGER) |
| Authorized Official Contact | 8607544091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Orend, Lcsw Llc Po Box 701 Portland CT 06480-0701 Ph: (860) 754-4091 | Lori Orend, Lcsw Llc 234 Main St Portland CT 06480-1861 Ph: (860) 754-4091 |
| NPI Number | 1902243835 |
|---|---|
| Provider Enumeration Date | 06/01/2013 |
| Last Update Date | 06/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902243835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 4950 (Connecticut) | Primary |
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