Healthcare Provider Details

I. General information

NPI: 1952827602
Provider Name (Legal Business Name): TRUE PLACES COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 BROAD ST
NEW LONDON CT
06320-5367
US

IV. Provider business mailing address

190 BROAD ST
NEW LONDON CT
06320-5367
US

V. Phone/Fax

Practice location:
  • Phone: 860-398-5719
  • Fax:
Mailing address:
  • Phone: 860-398-5719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number008289
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. ALISON B WETMUR
Title or Position: OWNER/PARTNER
Credential: LCSW
Phone: 860-398-5719