Organization
MANA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA ANNE BOUTIN LPC (OWNER AND LPC)
(203) 240-7075
Entity
Organization
Contact information
Practice address
10 N MAIN ST STE 305, WEST HARTFORD, CT 06107-1901
(203) 240-7075
Mailing address
10 N MAIN ST STE 305, WEST HARTFORD, CT 06107-1901
(203) 240-7075
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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