Organization
GOLDEN YEARS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LICHTENWALTER (CEO)
(860) 882-2516
Entity
Organization
Contact information
Practice address
51743 INVERNESS DR, SOUTH BEND, IN 46628-9555
(860) 882-2516
Mailing address
51743 INVERNESS DR, SOUTH BEND, IN 46628-9555
(860) 882-2516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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