# HEAL AND RESTORE THERAPY LLC

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

## Provider details

- **NPI number:** 1598425688
- **Authorized official:** ROSALIE CORIOLAN (MANAGING MEMBER)
- **Authorized official phone:** (203) 590-1542

## Contact information

- **Practice address:** 1000 LAFAYETTE BLVD STE 1100, BRIDGEPORT, CT 06604-4710
- **Practice address phone:** (203) 590-1542
- **Mailing address:** 1204 MAIN ST STE 560, BRANFORD, CT 06405-3787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2021
- **Last updated:** 12/30/2021