Organization
HOPELIFE BEHAVIORAL & WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA SHERIEE KING PMHNP-BC (OWNER/NURSE PRACTITIONER)
(860) 471-3610
Entity
Organization
Contact information
Practice address
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095-2700
(860) 607-3244
Mailing address
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095-2700
(860) 607-3244
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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