Healthcare Provider Details

I. General information

NPI: 1699638536
Provider Name (Legal Business Name): DARKNESS TO DAWN INTEGRATIVE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W TOWN ST
NORWICH CT
06360-2130
US

IV. Provider business mailing address

207 W TOWN ST
NORWICH CT
06360-2130
US

V. Phone/Fax

Practice location:
  • Phone: 860-334-8449
  • Fax:
Mailing address:
  • Phone: 860-334-8449
  • Fax: 860-334-8449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KAYLA BETH GERO
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 860-334-8449