Organization
SELF LOVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVINA JOHNSON-SMITH LMFT (THERAPIST)
(860) 837-0302
Entity
Organization
Contact information
Practice address
543 N MAIN ST STE E, MANCHESTER, CT 06042-1973
(860) 837-0302
Mailing address
543 N MAIN ST STE E, MANCHESTER, CT 06042-1973
(860) 837-0302
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
04/10/2026
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