institution
Green Lotus Creative Healing Center Llc
Professional Counselor in Berlin, Connecticut
NPI 1578078739

Green Lotus Creative Healing Center Llc is a Professional Counselor based in Berlin, CT and is specialized in Professional. Green Lotus Creative Healing Center Llc practices in Berlin, CT. The NPI Number for Green Lotus Creative Healing Center Llc is 1578078739 and holds a License No. 3209 (Connecticut).

The current practice location address for Green Lotus Creative Healing Center Llc is 49 Kenwood St, Berlin, CT and can be reached out via phone at 860-470-4304 and via fax at 860-516-8286.

Location: 49 Kenwood St, Berlin, CT, 06037-2016
institution
Provider Profile Details
NPI Number
1578078739
Provider Name
Green Lotus Creative Healing Center Llc
Credential
Provider Entity Type
Organization
Address
49 Kenwood St, Berlin, CT, 06037-2016
Phone Number
860-470-4304
Fax Number
860-516-8286
Provider Enumeration Date
12/11/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
49 Kenwood St
City
State
Zip
06037-2016
Phone Number
860-470-4304
Fax Number
860-516-8286
person
Provider Business Mailing Address Details
Address
49 Kenwood St
City
State
Zip
06037-2016
Phone Number
860-470-4304
Fax Number
860-516-8286
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3209 (Connecticut)
Definition
Definition to come...
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