| Just Therapy, Llc | |
|
341 E Center St Ste 255 Manchester CT 06040-4484 | |
| (860) 796-6695 | |
| Not Available |
| Full Name | Just Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 341 E Center St Ste 255, Manchester, Connecticut |
| Authorized Official Name and Position | Lauren Millerd (OWNER/CLINICIAN) |
| Authorized Official Contact | 8607966695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Just Therapy, Llc 341 E Center St Ste 255 Manchester CT 06040-4484 Ph: (860) 796-6695 | Just Therapy, Llc 341 E Center St Ste 255 Manchester CT 06040-4484 Ph: (860) 796-6695 |
| NPI Number | 1952990152 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Medicare PECOS PAC ID | 5890100507 |
|---|---|
| Medicare Enrollment ID | O20210210001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952990152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren Millerd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326589847 PECOS PAC ID: 4082990890 Enrollment ID: I20170410002617 |
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