Provider Demographics
NPI:1578261228
Name:INSTILLNESS THERAPY LLC
Entity Type:Organization
Organization Name:INSTILLNESS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CREMENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-593-9019
Mailing Address - Street 1:7 HAMILTON LN
Mailing Address - Street 2:
Mailing Address - City:WEATOGUE
Mailing Address - State:CT
Mailing Address - Zip Code:06089-9764
Mailing Address - Country:US
Mailing Address - Phone:860-593-9019
Mailing Address - Fax:
Practice Address - Street 1:1138 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2730
Practice Address - Country:US
Practice Address - Phone:203-707-1291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty