| Optimal Outcomes Therapy Pllc | |
|
36 Lake Dr S Riverside CT 06878-2024 | |
| (312) 405-0140 | |
| Not Available |
| Full Name | Optimal Outcomes Therapy Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 36 Lake Dr S, Riverside, Connecticut |
| Authorized Official Name and Position | Ashley Progano (AGENT) |
| Authorized Official Contact | 2039694654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Outcomes Therapy Pllc 36 Lake Dr S Riverside CT 06878-2024 Ph: (312) 405-0140 | Optimal Outcomes Therapy Pllc 36 Lake Dr S Riverside CT 06878-2024 Ph: (312) 405-0140 |
| NPI Number | 1649010034 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649010034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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