| Old Lyme Counseling, Llc | |
|
4 Davis Rd W Suite 6 Old Lyme CT 06371-4408 | |
| (860) 617-4082 | |
| Not Available |
| Full Name | Old Lyme Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4 Davis Rd W, Old Lyme, Connecticut |
| Authorized Official Name and Position | Heather Bonitz Moore (PART OWNER) |
| Authorized Official Contact | 8606174082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Lyme Counseling, Llc 19 Beechwood Blvd Norwich CT 06360-1405 Ph: (860) 617-4082 | Old Lyme Counseling, Llc 4 Davis Rd W Suite 6 Old Lyme CT 06371-4408 Ph: (860) 617-4082 |
| NPI Number | 1083938872 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 09/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083938872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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