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STRATFORD COMMUNITY SERVICES NPI 1851695837


NPI Information

NPI: 1851695837
Provider Name: STRATFORD COMMUNITY SERVICES
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization

CLIA Number: 07D2051066

Address:
468 BIRDSEYE ST
STRATFORD, CT
ZIP 06615
Phone: (203) 385-4095
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STRATFORD COMMUNITY SERVICES is a marriage family therapist in Stratford, 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. STRATFORD COMMUNITY SERVICES NPI is 1851695837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

468 BIRDSEYE ST
STRATFORD, CT
ZIP 06615-976
Phone: (203) 385-4095

The provider's authorized official is Andrea Boissevain .
The authorized official title is Health Director and has the following contact phone number (203) 385-4090.

The CLIA number assigned to this NPI record is 07D2051066 - other - well child clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2011 and was last updated on 1/5/2011.


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
1106H00000XMarriage & Family Therapist000784CONNECTICUTYes

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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