| Ventureoutherapy Llc | |
|
67 N Main St Essex CT 06426-1032 | |
| (203) 559-8244 | |
| (203) 621-3030 |
| Full Name | Ventureoutherapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 67 N Main St, Essex, Connecticut |
| Authorized Official Name and Position | Priscila G Podesta (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 2035598244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ventureoutherapy Llc 515 Centerpoint Dr Middletown CT 06457-7570 Ph: () - | Ventureoutherapy Llc 67 N Main St Essex CT 06426-1032 Ph: (203) 559-8244 |
| NPI Number | 1336616101 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336616101 | NPI | - | NPPES |
| NONE | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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