| My Story Healing Llc | |
|
593 Long Hill Rd Guilford CT 06437-1880 | |
| (203) 931-5231 | |
| Not Available |
| Full Name | My Story Healing Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 593 Long Hill Rd, Guilford, Connecticut |
| Authorized Official Name and Position | Alexandra B Rose (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2039315231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Story Healing Llc 593 Long Hill Rd Guilford CT 06437-1880 Ph: (203) 931-5231 | My Story Healing Llc 593 Long Hill Rd Guilford CT 06437-1880 Ph: (203) 931-5231 |
| NPI Number | 1053144865 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053144865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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