Organization
HEALTHY OUTLOOKS, LLC
Active
Organization
HEALTHY OUTLOOKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE DEROSA LPC (OWNER/PROFESSIONAL COUNSELOR)
(203) 509-8244
Entity
Organization
Contact information
Practice address
43 SHERMAN HILL RD, WOODBURY, CT 06798-3651
(203) 509-8244
Mailing address
42 ARVIDA RD, WOLCOTT, CT 06716-2766
(203) 509-8244
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001350
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194031849
—
CT
Enumeration date
06/12/2018
Last updated
06/12/2018
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