| Therapeutic Resolution Llc | |
|
1057 Poquonnock Rd Groton CT 06340-6630 | |
| (860) 552-7811 | |
| Not Available |
| Full Name | Therapeutic Resolution Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1057 Poquonnock Rd, Groton, Connecticut |
| Authorized Official Name and Position | Lori Ann Perry (CLINICIAN) |
| Authorized Official Contact | 8605527811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Resolution Llc 1 Fort Hill Rd Groton CT 06340-4799 Ph: (860) 552-7811 | Therapeutic Resolution Llc 1057 Poquonnock Rd Groton CT 06340-6630 Ph: (860) 552-7811 |
| NPI Number | 1902574940 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902574940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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