| Tree Of Life Therapy Llc | |
|
47 Water St Ste 202 Mystic CT 06355-2573 | |
| (860) 608-5202 | |
| Not Available |
| Full Name | Tree Of Life Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 47 Water St Ste 202, Mystic, Connecticut |
| Authorized Official Name and Position | Janice Waid (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 8606085202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Therapy Llc 347 Old Evarts Ln Mystic CT 06355-2161 Ph: (860) 608-5202 | Tree Of Life Therapy Llc 47 Water St Ste 202 Mystic CT 06355-2573 Ph: (860) 608-5202 |
| NPI Number | 1801452560 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801452560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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