Organization
SHORE WELLNESS CT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA BALOGA LMFT (CLINICIAN)
(203) 896-0101
Entity
Organization
Contact information
Practice address
85B WALL ST, MADISON, CT 06443-3121
(203) 896-0101
Mailing address
210 PINE ST APT 315, MANCHESTER, CT 06040-8418
(860) 759-8346
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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