| My Therapy Ct | |
|
236 Eno Ave Torrington CT 06790-5625 | |
| (203) 695-7191 | |
| Not Available |
| Full Name | My Therapy Ct |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 236 Eno Ave, Torrington, Connecticut |
| Authorized Official Name and Position | Mariah Benjamin (OWNER) |
| Authorized Official Contact | 2036957191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapy Ct 236 Eno Ave Torrington CT 06790-5625 Ph: (203) 695-7191 | My Therapy Ct 236 Eno Ave Torrington CT 06790-5625 Ph: (203) 695-7191 |
| NPI Number | 1508637893 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508637893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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