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Organization
TALK THERAPY LLC
Active
Organization
TALK THERAPY LLC
Active
Parent organization
TALK THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALK THERAPY LLC
Authorized official
OMAR LORENZO GREEN LCSW (LCSW/OWNER)
(860) 983-5100
Entity
Organization
Contact information
Practice address
10 CYRUS LN, BLOOMFIELD, CT 06002-3042
(860) 983-5100
Mailing address
10 CYRUS LN, BLOOMFIELD, CT 06002-3042
(860) 983-5100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063843845
—
CT
Enumeration date
02/10/2020
Last updated
02/10/2020
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