Healthcare Provider Details

I. General information

NPI: 1811020217
Provider Name (Legal Business Name): SWEET COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 S MAIN ST
THOMASTON CT
06787-1815
US

IV. Provider business mailing address

258 S MAIN ST
THOMASTON CT
06787-1815
US

V. Phone/Fax

Practice location:
  • Phone: 860-283-8224
  • Fax: 860-283-6079
Mailing address:
  • Phone: 860-283-8224
  • Fax: 860-283-6079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number001113
License Number StateCT

VIII. Authorized Official

Name: MS. LORI KUNTZ
Title or Position: THERAPIST
Credential: LMFT
Phone: 860-283-8224