| True You Llc | |
|
300 State St Ste 413c New London CT 06320-6115 | |
| (860) 672-5038 | |
| Not Available |
| Full Name | True You Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 State St Ste 413c, New London, Connecticut |
| Authorized Official Name and Position | Sophia Alexis Denniston (OWNER) |
| Authorized Official Contact | 8606725038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True You Llc 300 State St Ste 413c New London CT 06320-6115 Ph: (860) 672-5038 | True You Llc 300 State St Ste 413c New London CT 06320-6115 Ph: (860) 672-5038 |
| NPI Number | 1326769712 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 1355718263 |
|---|---|
| Medicare Enrollment ID | O20221107001624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326769712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sophia Alexis Denniston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780311761 PECOS PAC ID: 2264809177 Enrollment ID: I20221107001699 |
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