Organization
LIFE CHANGES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW BROOKS DEGLING LPC (OWNER)
(860) 944-1171
Entity
Organization
Contact information
Practice address
193 MAIN ST, MIDDLETOWN, CT 06457-3423
(860) 944-1171
(860) 829-1550
Mailing address
147 MAIN ST, EAST BERLIN, CT 06023-1136
(860) 944-1171
(860) 829-1550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001763
CT
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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