| Talk Therapy Llc | |
|
10 Cyrus Ln Bloomfield CT 06002-3042 | |
| (860) 983-5100 | |
| Not Available |
| Full Name | Talk Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10 Cyrus Ln, Bloomfield, Connecticut |
| Authorized Official Name and Position | Omar Lorenzo Green (LCSW/OWNER) |
| Authorized Official Contact | 8609835100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Talk Therapy Llc 10 Cyrus Ln Bloomfield CT 06002-3042 Ph: (860) 983-5100 | Talk Therapy Llc 10 Cyrus Ln Bloomfield CT 06002-3042 Ph: (860) 983-5100 |
| NPI Number | 1174155907 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174155907 | NPI | - | NPPES |
| 1063843845 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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