Provider Demographics
NPI:1194130112
Name:LEARNING TO LIVE LIFE, LLC
Entity type:Organization
Organization Name:LEARNING TO LIVE LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CLARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:860-883-7062
Mailing Address - Street 1:182 GRAND ST
Mailing Address - Street 2:SUITE 420-422
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-1914
Mailing Address - Country:US
Mailing Address - Phone:203-528-3054
Mailing Address - Fax:
Practice Address - Street 1:182 GRAND ST
Practice Address - Street 2:SUITE 420-422
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1914
Practice Address - Country:US
Practice Address - Phone:203-528-3054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-28
Last Update Date:2014-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000695101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty