Organization
LIFELONG WELLNESS CENTER COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LAWRENCE (OWNER)
(203) 837-0063
Entity
Organization
Contact information
Practice address
12 SKYTOP DR, SANDY HOOK, CT 06482-1504
(203) 837-0063
Mailing address
12 SKYTOP DR, SANDY HOOK, CT 06482-1504
(203) 837-0063
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
003241
CT
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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