| Teletherapy Services Pllc | |
|
46 Barbara Ln Plantsville CT 06479-1654 | |
| (860) 385-1422 | |
| (877) 346-8993 |
| Full Name | Teletherapy Services Pllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 46 Barbara Ln, Plantsville, Connecticut |
| Authorized Official Name and Position | Kristen S. Birmingham (OWNER) |
| Authorized Official Contact | 8603851422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teletherapy Services Pllc 46 Barbara Ln Plantsville CT 06479-1654 Ph: (860) 385-1422 | Teletherapy Services Pllc 46 Barbara Ln Plantsville CT 06479-1654 Ph: (860) 385-1422 |
| NPI Number | 1558036764 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558036764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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