| Into the Woods LLC | |
|
760 Bantam Rd Bantam CT 06750-1603 | |
| (860) 412-4547 | |
| Not Available |
| Full Name | Into the Woods LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 760 Bantam Rd, Bantam, Connecticut |
| Authorized Official Name and Position | Krystle Sullivan (CLINICIAN) |
| Authorized Official Contact | 8604124547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Into the Woods LLC 760 Bantam Rd Bantam CT 06750-1603 | Into the Woods LLC 760 Bantam Rd Bantam CT 06750-1603 Ph: (860) 412-4547 |
| NPI Number | 1295200608 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 10/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295200608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
Nancy Basti Psychological Consultants LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Bantam Rd, Bantam, CT 06750 Phone: 860-567-2254 Fax: 860-567-2254 |
Litchfield Hills Healing Center, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 760 Bantam Road, Bantam, CT 06750 Phone: 860-361-9333 Fax: 860-361-9334 |
Linda R Thorpe, LCSW, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Litchfield Hills Healing Center, 760 Bantam Rd., Bantam, CT 06750 Phone: 203-232-0698 |