Live in Truth Therapeutic Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVE IN TRUTH THERAPEUTIC SERVICES LLC

Practice address

1224 Mill St BLDG B
East Berlin, CT 06023-1159

Phone

(860) 840-7390

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martina Jackson, LCSWNPI 1326578501

Title

Owner

Phone

(860) 840-7390

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martina S Jackson, LMSW

  • Mental Health Counselor
  • Norwich, CT
  • NPI 1326578501
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1437720745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 MILL ST BLDG B",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-840-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MILL ST BLDG B",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-840-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE IN TRUTH THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-840-7390",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Ruth Hale-West, LPC
• Sarah Hoxha
• Journey to New Beginnings LLC.
• Lisa Lacen, LMFT
• Sehee Lee
• Mac Mental & Physical Wellness LLC
• Agnes Matug, OT ASSISTANT
• Rachael Medina, LMFT
• Mountain Laurel Mental Health LLC
• Musculoskeletal Medicine & Pain Management Associates, PC (MultiCare)

• Community/Behavioral Health Agency in East Berlin, CT
• Providers in East Berlin, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.