Organization
ENVISION COUNSELING & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MIDDLETON LPC (OWNER/OPERATOR)
(860) 325-0860
Entity
Organization
Contact information
Practice address
769 NEWFIELD ST STE 2, MIDDLETOWN, CT 06457-1846
(860) 325-0860
Mailing address
769 NEWFIELD ST STE 2, MIDDLETOWN, CT 06457-1846
(860) 325-0860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003083
CT
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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