# WISDOM TREE THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154199271
- **Authorized official:** MR. NATALE TEODORO MACP, LMFT (SOLE MANAGING MEMBER)
- **Authorized official phone:** (860) 578-8638

## Contact information

- **Practice address:** 664 PROSPECT AVE STE 106, HARTFORD, CT 06105-4255
- **Practice address phone:** (860) 578-8638
- **Mailing address:** 664 PROSPECT AVE STE 106, HARTFORD, CT 06105-4255
- **Mailing address phone:** (860) 578-8638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 12/19/2023