Provider Demographics
NPI:1033574355
Name:REGENERATION THERAPY AND COUNSELING LLC
Entity Type:Organization
Organization Name:REGENERATION THERAPY AND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRIEDRICH
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAURER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-885-8374
Mailing Address - Street 1:350 PHOENIXVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06235-2419
Mailing Address - Country:US
Mailing Address - Phone:888-316-5221
Mailing Address - Fax:866-203-2138
Practice Address - Street 1:350 PHOENIXVILLE RD
Practice Address - Street 2:
Practice Address - City:CHAPLIN
Practice Address - State:CT
Practice Address - Zip Code:06235-2419
Practice Address - Country:US
Practice Address - Phone:888-316-5221
Practice Address - Fax:866-203-2138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health