| Thriving Lives, Llc | |
|
1101 Noank Ledyard Rd Ste 15 Mystic CT 06355-1361 | |
| (860) 980-6163 | |
| Not Available |
| Full Name | Thriving Lives, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1101 Noank Ledyard Rd Ste 15, Mystic, Connecticut |
| Authorized Official Name and Position | Krista Schermerhorn Bordeleau (OWNER) |
| Authorized Official Contact | 8609806163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Lives, Llc 1101 Noank Ledyard Rd Ste 15 Mystic CT 06355-1361 Ph: (860) 980-6163 | Thriving Lives, Llc 1101 Noank Ledyard Rd Ste 15 Mystic CT 06355-1361 Ph: (860) 980-6163 |
| NPI Number | 1902768708 |
|---|---|
| Provider Enumeration Date | 12/01/2025 |
| Last Update Date | 12/01/2025 |
| Certification Date | 12/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902768708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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