Active NPIOrganization

CT Mediation And Therapy, LLC

Community/Behavioral Health in Manchester, Connecticut

NPI Number1720492614
Practice location
357 E Center St, Manchester, CT 06040-4472
Fax
—
Last updated
June 18, 2014

CT Mediation And Therapy, LLC is a healthcare organization based in Manchester, CT. CT Mediation And Therapy, LLC practices in Manchester, CT. The NPI Number for CT Mediation And Therapy, LLC is 1720492614 and holds a License No. 002174 (CT). The current practice location address for CT Mediation And Therapy, LLC is 357 E Center St, Manchester, CT 06040-4472 and can be reached out via phone at 860-890-8689.

Provider Profile Details

NPI Number
1720492614
Provider Name
CT Mediation And Therapy, LLC
Provider Entity Type
Organization
Address
357 E Center St, Manchester, CT 06040-4472
Phone Number
860-890-8689
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mr. Matthew Paul Bohonowicz, LPC · Therapist-Mediator · 860-890-8689
Provider Enumeration Date
June 18, 2014
Last Update Date
June 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
357 E Center St
Manchester, CT 06040-4472
Zip
06040-4472
Phone Number
860-890-8689
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
357 E Center St
Manchester, CT 06040-4472
City
Manchester
State
CT
Zip
06040-4472
Phone Number
860-890-8689

License Information

License Number
002174
License State
CT
Taxonomy
Community/Behavioral Health · 251S00000X · 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 CT Mediation And Therapy, LLC?

The NPI number of CT Mediation And Therapy, LLC is 1720492614. It was assigned on June 18, 2014 and is currently active in the NPPES registry.

What is the specialty of CT Mediation And Therapy, LLC?

CT Mediation And Therapy, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in CT under license number 002174.

Where does CT Mediation And Therapy, LLC practice?

The practice location is 357 E Center St, Manchester, CT 06040-4472. The office can be reached at 860-890-8689 (phone).

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 1720492614 directly on the NPPES registry website.

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