Organization
PHOENIX HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA BAKER LCSW (PSYCHOTHERAPIST)
(860) 463-9684
Entity
Organization
Contact information
Practice address
45 S MAIN ST STE 107, WEST HARTFORD, CT 06107-2402
(860) 352-0813
Mailing address
45 S MAIN ST STE 107, WEST HARTFORD, CT 06107-2402
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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