Organization
REVIVE FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L. RUITTO LMFT (OWNER)
(860) 579-3258
Entity
Organization
Contact information
Practice address
805 FARMINGTON AVE STE 1, WEST HARTFORD, CT 06119-1671
(860) 462-1345
Mailing address
805 FARMINGTON AVE STE 1, WEST HARTFORD, CT 06119-1671
(860) 579-3258
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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