Organization
AT THE WELL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN E SMYTHE LPC (SENIOR CLINICIAN)
(860) 990-5299
Entity
Organization
Contact information
Practice address
45 S MAIN ST, STE 107, WEST HARTFORD, CT 06107-2441
(860) 990-5299
Mailing address
45 S MAIN ST, STE 107, WEST HARTFORD, CT 06107-2441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002358
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851637615
NPI
CT
Enumeration date
06/09/2016
Last updated
06/09/2016
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