Organization
VENTUREOUTHERAPY LLC
Active
Organization
VENTUREOUTHERAPY LLC
Active
Other names
Ventureoutherapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILA G PODESTA LMFT (MARRIAGE AND FAMILY THERAPIST)
(203) 559-8244
Entity
Organization
Contact information
Practice address
67 N MAIN ST, ESSEX, CT 06426-1032
(203) 559-8244
(203) 621-3030
Mailing address
515 CENTERPOINT DR, MIDDLETOWN, CT 06457-7570
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
CT
Enumeration date
10/30/2018
Last updated
05/19/2022
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