Organization Name: | MYSTIC THERAPY, LLC. |
NPI Number: | 1043517733 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELLE DRUGAN (OWNER) |
Mailing Address: | 112 New London Rd Ste A Groton |
State: | CT US |
Postal Code: | 063404869 |
Phone Number: | 8609615702 |
Fax Number: | 8667400281 |
NPI Enumeration Date: | 02/16/2011 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | 001404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |