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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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