| Horticulture Therapy Farm, Llc | |
|
374 E. Litchfield Rd. Litchfield CT 06759-2901 | |
| (203) 815-8267 | |
| (203) 298-4245 |
| Full Name | Horticulture Therapy Farm, Llc |
|---|---|
| Speciality | Counselor |
| Location | 374 E. Litchfield Rd., Litchfield, Connecticut |
| Authorized Official Name and Position | Lisa Renee Ford (OWNER) |
| Authorized Official Contact | 2038158260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horticulture Therapy Farm, Llc Post Office Box 284 Litchfield CT 06759-0284 Ph: (203) 815-8260 | Horticulture Therapy Farm, Llc 374 E. Litchfield Rd. Litchfield CT 06759-2901 Ph: (203) 815-8267 |
| NPI Number | 1528330974 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 09/08/2023 |
| Medicare PECOS PAC ID | 3678914165 |
|---|---|
| Medicare Enrollment ID | O20240515001689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528330974 | NPI | - | NPPES |
| 008008097 | Medicaid | CT |
| Provider Name | Lisa Renee' Ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427282953 PECOS PAC ID: 5890130546 Enrollment ID: I20240304002628 |
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