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Contact Information

LIFE BALANCE COUNSELING CT, LLC
11 MAIN ST
MYSTIC, CT06355-3654
 Phone: 860-717-2007
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LIFE BALANCE COUNSELING CT LLC · (Female)

NPI # 1760940175
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2019
Last updated 05/01/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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