Organization
THERAPY SPACE CT
Active
Other names
Integrated Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE LUFT (CEO/OWNER)
(032) 407-0932
Entity
Organization
Contact information
Practice address
100 DANBURY RD STE 203B, RIDGEFIELD, CT 06877-4122
(203) 240-7093
Mailing address
100B DANBURY ROAD, STE 203B, RIDGEFIELD, CT 06877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
10/15/2024
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