| Lagom Lifestyle Counseling Llc | |
|
486 S Main St Thomaston CT 06787-1844 | |
| (860) 387-5587 | |
| Not Available |
| Full Name | Lagom Lifestyle Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 486 S Main St, Thomaston, Connecticut |
| Authorized Official Name and Position | Brandy M Sellitto-taylor (OWNER) |
| Authorized Official Contact | 8603875587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagom Lifestyle Counseling Llc 60 Lexington Ave Torrington CT 06790-3430 Ph: (860) 387-5587 | Lagom Lifestyle Counseling Llc 486 S Main St Thomaston CT 06787-1844 Ph: (860) 387-5587 |
| NPI Number | 1871379891 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 8123462454 |
|---|---|
| Medicare Enrollment ID | O20240214003774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871379891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Brandy Marie Sellitto-taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326714031 PECOS PAC ID: 1850735184 Enrollment ID: I20240214003878 |
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