Organization
WELL BEYOND COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY O'CONNELL-SEAGRAVES (THERAPIST, OWNER)
(860) 371-5668
Entity
Organization
Contact information
Practice address
2 TUNXIS RD STE 201, TARIFFVILLE, CT 06081-9687
(860) 371-5668
Mailing address
2 TUNXIS RD STE 201, TARIFFVILLE, CT 06081-9687
(860) 371-5668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609218866
NPI
—
Enumeration date
09/26/2020
Last updated
09/26/2020
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