| Self Love Therapy | |
|
26 Amato Dr Apt C South Windsor CT 06074-3657 | |
| (860) 985-5969 | |
| Not Available |
| Full Name | Self Love Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 26 Amato Dr Apt C, South Windsor, Connecticut |
| Authorized Official Name and Position | Avina Johnson-smith (THERAPIST) |
| Authorized Official Contact | 8608370302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Love Therapy Po Box 1546 South Windsor CT 06074-7546 Ph: (860) 837-0302 | Self Love Therapy 26 Amato Dr Apt C South Windsor CT 06074-3657 Ph: (860) 985-5969 |
| NPI Number | 1053026187 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053026187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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