Moya Family Therapy, LLC
Marriage & Family Therapist in East Lyme, CT. Organization (NPI-2).
NPI number1982242673
StatusActive
Last updated in NPPESDec 13, 2019
Details
- NPI
- 1982242673
- Entity type
- Organization (NPI-2)
- Legal business name
- Moya Family Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2019
- Certification date
- Dec 13, 2019
- Last updated
- Dec 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Other names
- Moya Family Therapy, LLC (Doing Business As)
Practice location
315 Flanders RdEast Lyme, CT 06333-1711
Phone 860-326-4474
Mailing address
22 Lynn DrLedyard, CT 06339-1311
Phone 860-326-4474
Authorized official
Laura E Moya
President
8603264474
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