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General NPI Number Information
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NPI Number | 1386460772
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Entity Type | Organization
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Legal Business Name | WELL BEING SANCTUARY
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 257 MAIN ST STE 205
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City | TORRINGTON
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State | CT
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Zip | 06790-5206
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Country | US
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Telephone | 860-733-3280
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Fax | 860-650-9854
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Provider Business Mailing Address
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Address Line | 550 TORRINGTON RD
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City | LITCHFIELD
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State | CT
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Zip | 06759-2606
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Country | US
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Telephone | 203-558-1760
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Fax |
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Authorized Official
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Title or Position | PRINCIPA/MANAGER
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Name | LAURA BERTRAND
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Credential | LPC
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Telephone | 203-558-1760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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