Talk Therapy Llc | |
10 Cyrus Ln Bloomfield CT 06002-3042 | |
(860) 983-5100 | |
Not Available |
Full Name | Talk Therapy Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 10 Cyrus Ln, Bloomfield, Connecticut |
Authorized Official Name and Position | Omar Lorenzo Green (LCSW/OWNER) |
Authorized Official Contact | 8609835100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Talk Therapy Llc 10 Cyrus Ln Bloomfield CT 06002-3042 Ph: (860) 983-5100 | Talk Therapy Llc 10 Cyrus Ln Bloomfield CT 06002-3042 Ph: (860) 983-5100 |
NPI Number | 1174155907 |
---|---|
Provider Enumeration Date | 02/10/2020 |
Last Update Date | 02/10/2020 |
Certification Date | 02/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174155907 | NPI | - | NPPES |
1063843845 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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