Organization
THERAPEUTIC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L CASPARIUS LMFT (OWNER)
(203) 970-7896
Entity
Organization
Contact information
Practice address
266 POST RD E, WESTPORT, CT 06880-3625
(203) 970-7896
Mailing address
25 BURR FARMS RD, WESTPORT, CT 06880-3818
(203) 970-7896
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002002
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
07/11/2018
Last updated
07/11/2018
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