| Trinity Therapeutic Care, Llc | |
|
541 Eastern Point Rd Suite 2 Groton CT 06340-5158 | |
| (860) 405-1777 | |
| (860) 405-1113 |
| Full Name | Trinity Therapeutic Care, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 541 Eastern Point Rd, Groton, Connecticut |
| Authorized Official Name and Position | Dale E Kingsley (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8607053668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Therapeutic Care, Llc 541 Eastern Point Rd Suite 2 Groton CT 06340-5158 Ph: (860) 705-3668 | Trinity Therapeutic Care, Llc 541 Eastern Point Rd Suite 2 Groton CT 06340-5158 Ph: (860) 405-1777 |
| NPI Number | 1710376629 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710376629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001607 (Connecticut) | Primary |
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