Organization
TREE OF LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE WAID LMFT (MARRIAGE AND FAMILY THERAPIST)
(860) 608-5202
Entity
Organization
Contact information
Practice address
47 WATER ST STE 202, MYSTIC, CT 06355-2573
(860) 608-5202
Mailing address
347 OLD EVARTS LN, MYSTIC, CT 06355-2161
(860) 608-5202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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