Provider Demographics
NPI:1477037661
Name:PSYCHOTHERAPY CARE, LLC
Entity Type:Organization
Organization Name:PSYCHOTHERAPY CARE, LLC
Other - Org Name:PSYCHOTHERAPY CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMULLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-307-0954
Mailing Address - Street 1:25 EAST SHORE RD
Mailing Address - Street 2:
Mailing Address - City:NEW PRESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06777-1619
Mailing Address - Country:US
Mailing Address - Phone:860-307-0954
Mailing Address - Fax:
Practice Address - Street 1:27 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:NEW PRESTON
Practice Address - State:CT
Practice Address - Zip Code:06777
Practice Address - Country:US
Practice Address - Phone:860-307-0954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health