Organization
RAINBOW CONNECTION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA HAUREZ LPC-MHSP (OWNER/THERAPIST)
(423) 225-3757
Entity
Organization
Contact information
Practice address
1201 N WILCOX DR STE C, KINGSPORT, TN 37660-4986
(423) 225-3757
Mailing address
1201 N WILCOX DR STE C, KINGSPORT, TN 37660-4986
(423) 225-3757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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