Organization
HEAL AND RESTORE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE CORIOLAN (MANAGING MEMBER)
(203) 590-1542
Entity
Organization
Contact information
Practice address
1000 LAFAYETTE BLVD STE 1100, BRIDGEPORT, CT 06604-4710
(203) 590-1542
Mailing address
1204 MAIN ST STE 560, BRANFORD, CT 06405-3787
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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