Organization · Type 2 NPI
Life Changes, LLC
Mental Health Counselor · Middletown, CT
NPI number
1902107428
Active
Practice location
193 Main St
Middletown, CT 06457-3423
Fax (860) 829-1550
Mailing address
147 Main St
East Berlin, CT 06023-1136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 001763 (CT) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1902107428
Life Changes, LLC's National Provider Identifier is 1902107428, issued on Nov 15, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Middletown, CT. The record was last updated on Nov 15, 2010.