NPI 1053026187
Self Love Therapy
Practice location
- Address
- 543 N Main St STE E, Manchester, CT 06042-1973
- Phone
- (860) 837-0302
Authorised official
- Name
- Avina Johnson-Smith
- Title
- Therapist
- Phone
- (860) 837-0302
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1053026187
- Entity type
- Organization
- NPI issued
- 23 Jan 2023
- Record last updated
- 10 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.