| Love Your Life Llc | |
|
73 Walnut St Manchester CT 06040-4954 | |
| (860) 506-5765 | |
| Not Available |
| Full Name | Love Your Life Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 73 Walnut St, Manchester, Connecticut |
| Authorized Official Name and Position | Mimi Pugh (OWNER) |
| Authorized Official Contact | 8605065765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Your Life Llc 14 Hazard Ave # 23 Enfield CT 06082-3713 Ph: (860) 506-5765 | Love Your Life Llc 73 Walnut St Manchester CT 06040-4954 Ph: (860) 506-5765 |
| NPI Number | 1710715321 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710715321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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