Organization
THE CENTER FOR EMOTIONAL HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FORTIN LPC (OWNER)
(860) 368-8665
Entity
Organization
Contact information
Practice address
307 EAST STREET, UNIT 1, PLAINVILLE, CT 06062
(860) 368-8665
Mailing address
50 STURBRIDGE CT, BRISTOL, CT 06010-9037
(860) 368-8665
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2783
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740526672
—
CT
Enumeration date
07/11/2017
Last updated
07/11/2017
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