Provider Demographics
NPI:1174615827
Name:ASSOCIATES FOR RESOLUTIONTHERAPY LLC
Entity type:Organization
Organization Name:ASSOCIATES FOR RESOLUTIONTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY THERAPIST AND OWNER OF LLC
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:TRUEBLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MA,, LMFT
Authorized Official - Phone:203-254-8268
Mailing Address - Street 1:101 HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06890-1316
Mailing Address - Country:US
Mailing Address - Phone:203-254-8262
Mailing Address - Fax:203-255-2512
Practice Address - Street 1:101 HARBOR RD
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:CT
Practice Address - Zip Code:06890-1316
Practice Address - Country:US
Practice Address - Phone:203-254-8262
Practice Address - Fax:203-255-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000786106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty