| The Mobile Office Therapist Llc | |
|
107 Carmel St New Haven CT 06511-3103 | |
| (800) 745-6724 | |
| Not Available |
| Full Name | The Mobile Office Therapist Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 107 Carmel St, New Haven, Connecticut |
| Authorized Official Name and Position | Latreece Mayes-santiago (LPC) |
| Authorized Official Contact | 8007456724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mobile Office Therapist Llc 107 Carmel St New Haven CT 06511-3103 Ph: (800) 745-6724 | The Mobile Office Therapist Llc 107 Carmel St New Haven CT 06511-3103 Ph: (800) 745-6724 |
| NPI Number | 1366108961 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366108961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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