Teletherapy Services PLLC

Organization Active NPI Addiction (Substance Use Disorder) Counselor · Plantsville, CT

NPI 1558036764 · NPPES record last updated Aug 10, 2021

Key facts

NPI
1558036764
Entity type
Organization (NPI type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Legal business name
TELETHERAPY SERVICES PLLC
Practice address
46 Barbara LN
Plantsville, CT 06479-1654
Phone
(860) 385-1422
Fax
(877) 346-8993
NPI assigned
Aug 10, 2021
Organization subpart
No

Authorized official

Name
Mrs. Kristen S. Birmingham, MS MFT LADC
Title
Owner
Phone
(860) 385-1422

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X Yes
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

46 Barbara LN
Plantsville, CT 06479-1654

Mailing address

46 Barbara LN
Plantsville, CT 06479-1654
Phone (860) 385-1422

Other providers in Plantsville, CT

All providers in Plantsville, CT · Addiction (Substance Use Disorder) Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.