Organization
SPIRITUAL COMPASS THERAREUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M SMITH LMFT (LICENSED MARRIAGE AND FAMILY THERAP)
(860) 705-5631
Entity
Organization
Contact information
Practice address
124 FORT HILL RD, GROTON, CT 06340-4335
(860) 705-5631
Mailing address
79 CEDAR RD, MYSTIC, CT 06355-2163
(860) 536-6237
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001733
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008058996
—
CT
Enumeration date
07/27/2015
Last updated
07/27/2015
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