National Provider Identifier Database

THERAPEUTIC ALLIANCE OF CONNECTICUT LLC
Psychiatric/Mental Health


Contact Information

THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC
174 SOUTH RD STE 125
ENFIELD, CT06082-4414
Phone: 860-966-1004
Fax: 860-788-4090
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC

NPI Number 1467982504
Legal business name
LBN
THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC
Authorized official JULIO DURAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/12/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 7027

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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