Organization
INFINITE CONNECTION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYSSA BAYNE-KIM LICSW (OWNER)
(503) 550-7642
Entity
Organization
Contact information
Practice address
2299 WOODBURY AVE STE 1, NEWINGTON, NH 03801-7854
(503) 550-7642
Mailing address
3 ROCKY LN, DURHAM, NH 03824-1947
(503) 550-7642
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1992
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801327127
—
NH
Enumeration date
01/18/2018
Last updated
01/18/2018
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