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ANDOVER HEBRON MARLBOROUGH YOUTH & FAMILY SERVICES INC. NPI 1801050398


NPI Information

NPI: 1801050398
Provider Name: ANDOVER, HEBRON, MARLBOROUGH YOUTH & FAMILY SERVICES, INC.
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
25 PENDLETON DR
HEBRON, CT
ZIP 06248
Phone: (860) 228-9488
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ANDOVER, HEBRON, MARLBOROUGH YOUTH & FAMILY SERVICES, INC. is a marriage family therapist in Hebron, CT. The provider is 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. ANDOVER, HEBRON, MARLBOROUGH YOUTH & FAMILY SERVICES, INC. NPI is 1801050398. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 PENDLETON DR
HEBRON, CT
ZIP 06248-525
Phone: (860) 228-9488
Fax: (860) 228-1213

The provider's authorized official is Sarah Kate Ekvall .
The authorized official title is Clinical Department and has the following contact phone number (860) 228-9488.

The enumeration date for this NPI number is 7/14/2008 and was last updated on 7/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008064980MEDICAIDCONNECTICUT
2008014267MEDICAIDCONNECTICUT
3004258192MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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