# HEART AND SOUL THERAPY LLC

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

## Provider details

- **NPI number:** 1649736976
- **Authorized official:** GRETCHEN BERKE LMFT (OWNER)
- **Authorized official phone:** (860) 415-6011

## Contact information

- **Practice address:** 39 NEW LONDON TPKE STE 230A, GLASTONBURY, CT 06033-2061
- **Practice address phone:** (860) 415-6011
- **Mailing address:** 39 NEW LONDON TPKE STE 230A, GLASTONBURY, CT 06033-2061
- **Mailing address phone:** (860) 415-6011

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2019
- **Last updated:** 02/12/2019