Organization
PAI CT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KING (DIRECTOR)
(860) 322-6712
Entity
Organization
Contact information
Practice address
101 CENTERPOINT DR STE 105, MIDDLETOWN, CT 06457-7568
(860) 322-6712
(860) 706-8151
Mailing address
101 CENTERPOINT DR STE 105, MIDDLETOWN, CT 06457-7568
(860) 322-6712
(860) 706-8151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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