Provider Demographics
NPI:1821667999
Name:TRUEYOU CLINICAL SERVICES, LLC
Entity Type:Organization
Organization Name:TRUEYOU CLINICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARCHIBALD
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-856-9945
Mailing Address - Street 1:67 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-1633
Mailing Address - Country:US
Mailing Address - Phone:860-856-9945
Mailing Address - Fax:
Practice Address - Street 1:67 PARK AVE
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1633
Practice Address - Country:US
Practice Address - Phone:860-856-9945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty