Organization
NEW ENGLAND BALANCE AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE L BULLOCK LPC, NCC, DCC (OWNER-OPERATOR)
(203) 868-5436
Entity
Organization
Contact information
Practice address
60 CONNOLLY PKWY BLDG 12, SUITE 202, HAMDEN, CT 06514-2593
(203) 868-5436
Mailing address
15 ORMOND ST, MILFORD, CT 06461-3912
(203) 868-5436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001538
CT
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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