| Moya Family Therapy, LLC | |
|
315 Flanders Rd East Lyme CT 06333-1711 | |
| (860) 326-4474 | |
| Not Available |
| Full Name | Moya Family Therapy, LLC |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 315 Flanders Rd, East Lyme, Connecticut |
| Authorized Official Name and Position | Laura E Moya (PRESIDENT) |
| Authorized Official Contact | 8603264474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moya Family Therapy, LLC 22 Lynn Dr Ledyard CT 06339-1311 Ph: (860) 326-4474 | Moya Family Therapy, LLC 315 Flanders Rd East Lyme CT 06333-1711 Ph: (860) 326-4474 |
| NPI Number | 1982242673 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Medicare PECOS PAC ID | 8820598634 |
|---|---|
| Medicare Enrollment ID | O20250826001561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982242673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | () | Primary |
| Provider Name | Laura Elizabeth Moya |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336540509 PECOS PAC ID: 9739689548 Enrollment ID: I20250826001740 |
| Provider Name | Joselyn Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396546719 PECOS PAC ID: 7911479076 Enrollment ID: I20260619000218 |
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