Organization
ADVANCED PSYCHOTHERAPY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESHAE RICE MS LPC-A LADC (OWNER)
(203) 908-1076
Entity
Organization
Contact information
Practice address
3380 MAIN ST, STRATFORD, CT 06614-4860
(203) 526-1959
(203) 549-0640
Mailing address
193 QUINNIPIAC ST APT 2, WALLINGFORD, CT 06492-3767
(203) 908-1076
(203) 526-1959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008044044
—
CT
05
—
008126019
—
CT
Enumeration date
04/30/2022
Last updated
12/17/2024
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