Organization
ROOT & BLOOM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA CHESTNUT (LMFT)
(860) 375-0374
Entity
Organization
Contact information
Practice address
1153 MAIN ST, COVENTRY, CT 06238-3115
(860) 375-0374
Mailing address
176 N BEAR HILL RD, CHAPLIN, CT 06235-2421
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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