Active NPIOrganization

Mystic Therapy, LLC.

Marriage & Family Therapist in Mystic, Connecticut

NPI Number1043517733
Practice location
49 Whitehall Ave, Mystic, CT 06355-1966
Fax
866-740-0281
Last updated
October 23, 2019

Mystic Therapy, LLC. is a healthcare organization based in Mystic, CT. Mystic Therapy, LLC. practices in Mystic, CT. The NPI Number for Mystic Therapy, LLC. is 1043517733 and holds a License No. 001404 (CT). The current practice location address for Mystic Therapy, LLC. is 49 Whitehall Ave, Mystic, CT 06355-1966 and can be reached out via phone at 860-961-5702 and via fax at 866-740-0281.

Provider Profile Details

NPI Number
1043517733
Provider Name
Mystic Therapy, LLC.
Provider Entity Type
Organization
Address
49 Whitehall Ave, Mystic, CT 06355-1966
Phone Number
860-961-5702
Fax Number
866-740-0281
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Organization Subpart
No
Authorized Official
Danielle Drugan, LMFT, MS ED · Owner · 860-961-5702
Provider Enumeration Date
February 16, 2011
Last Update Date
October 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Whitehall Ave
Mystic, CT 06355-1966
City
Mystic
Zip
06355-1966
Phone Number
860-961-5702
Fax Number
866-740-0281
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
21 New London RD
Mystic, CT 06355-2452
City
Mystic
State
CT
Zip
06355-2452
Phone Number
860-961-5702
Fax Number
866-740-0281

License Information

License Number
001404
License State
CT
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mystic Therapy, LLC.?

The NPI number of Mystic Therapy, LLC. is 1043517733. It was assigned on February 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Mystic Therapy, LLC.?

Mystic Therapy, LLC. is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 001404.

Where does Mystic Therapy, LLC. practice?

The practice location is 49 Whitehall Ave, Mystic, CT 06355-1966. The office can be reached at 860-961-5702 (phone) or 866-740-0281 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043517733 directly on the NPPES registry website.

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