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Organization
LAVENDER MEADOW PSYCHOTHERAPY STUDIO
Active
Organization
LAVENDER MEADOW PSYCHOTHERAPY STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY SCOTT (CEO)
(860) 819-1878
Entity
Organization
Contact information
Practice address
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110-1142
(860) 819-1878
Mailing address
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110-1142
(860) 819-1878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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