Provider Demographics
NPI:1548010721
Name:FETTLE AND FLOURISHING HOLISTIC THERAPY, LLC
Entity type:Organization
Organization Name:FETTLE AND FLOURISHING HOLISTIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:CAROLINE
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-830-1532
Mailing Address - Street 1:615 W JOHNSON AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-4532
Mailing Address - Country:US
Mailing Address - Phone:860-830-1532
Mailing Address - Fax:
Practice Address - Street 1:414A LEBANON RD
Practice Address - Street 2:
Practice Address - City:NORTH FRANKLIN
Practice Address - State:CT
Practice Address - Zip Code:06254-1612
Practice Address - Country:US
Practice Address - Phone:860-830-1532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty