Rainbow Connection Therapy, Llc | |
1201 N Wilcox Dr Ste C Kingsport TN 37660-4986 | |
(423) 225-3757 | |
Not Available |
Full Name | Rainbow Connection Therapy, Llc |
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Speciality | Counselor - Mental Health |
Location | 1201 N Wilcox Dr Ste C, Kingsport, Tennessee |
Authorized Official Name and Position | Lydia Haurez (OWNER/THERAPIST) |
Authorized Official Contact | 4232253757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rainbow Connection Therapy, Llc 1201 N Wilcox Dr Ste C Kingsport TN 37660-4986 Ph: (423) 225-3757 | Rainbow Connection Therapy, Llc 1201 N Wilcox Dr Ste C Kingsport TN 37660-4986 Ph: (423) 225-3757 |
NPI Number | 1962284067 |
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Provider Enumeration Date | 10/16/2023 |
Last Update Date | 10/16/2023 |
Certification Date | 10/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962284067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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