Advanced Therapies, LLC
Organization Active NPI Marriage & Family Therapist · Cromwell, CT
NPI 1174543003 · NPPES record last updated May 16, 2013
Key facts
- NPI
- 1174543003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000682 (CT)
- Legal business name
- ADVANCED THERAPIES, LLC
- Practice address
- 80 Shunpike Rd
Suite 206
Cromwell, CT 06416-4401 - Phone
- (860) 529-8977
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Joan P. Day, LMFT
- Title
- Owner
- Phone
- (860) 529-8977
National Provider Directory
Locations
80 Shunpike Rd
Unit 206
Cromwell, CT 06416
Phone (860) 503-9927
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | 000682 | CT | Yes |
Addresses
Primary practice location
80 Shunpike Rd
Suite 206
Cromwell, CT 06416-4401
Mailing address
80 Shunpike Rd
Suite 206
Cromwell, CT 06416-4401
Phone (860) 529-8977
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004209559 | Medicaid | CT | |
| 1952386013 | Other | CT | NPIENUMERATOR/INDIVIDUAL |
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All providers in Cromwell, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.