Organization
THERAPY AND WELLNESS FOR WOMEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN K WOLD LMFT (MEMBER)
(860) 595-2890
Entity
Organization
Contact information
Practice address
769 FARMINGTON AVE, BOX 11, FARMINGTON, CT 06032-2364
(860) 595-2890
Mailing address
769 FARMINGTON AVE, BOX 11, FARMINGTON, CT 06032-2364
(860) 595-2890
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
001744
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
001749
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008060366
—
CT
05
—
008061998
—
CT
Enumeration date
04/05/2016
Last updated
04/05/2016
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