| Mr. Therapy Guy Llc | |
|
605 Washington Ave North Haven CT 06473-1123 | |
| (203) 843-4456 | |
| Not Available |
| Full Name | Mr. Therapy Guy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 605 Washington Ave, North Haven, Connecticut |
| Authorized Official Name and Position | Michael D Petras (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 2038434456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mr. Therapy Guy Llc 1204 Main St # 228 Branford CT 06405-3787 Ph: (203) 843-4456 | Mr. Therapy Guy Llc 605 Washington Ave North Haven CT 06473-1123 Ph: (203) 843-4456 |
| NPI Number | 1922853175 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922853175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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