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Organization
LIGHTHEART INSTITUTE, LLC
Active
Organization
LIGHTHEART INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN MARY TKACZ LMFT (OWNER/CLINICAIN)
(860) 254-5582
Entity
Organization
Contact information
Practice address
68 BRIDGE ST STE 203A, SUFFIELD, CT 06078-2173
(860) 254-5582
(860) 254-5508
Mailing address
68 BRIDGE ST STE 203A, SUFFIELD, CT 06078-2173
(860) 254-5582
(860) 254-5508
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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