Breonna Arnum, LMFTA
Individual provider Active NPI Marriage & Family Therapist · Meriden, CT
NPI 1104439009 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1104439009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2400 (CT)
- Practice address
- 153 Dexter Ave
Meriden, CT 06450-6112 - Phone
- (860) 944-4580
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2400 | CT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2400 | CT | Yes |
Addresses
Primary practice location
153 Dexter Ave
Meriden, CT 06450-6112
Mailing address
153 Dexter Ave
Meriden, CT 06450-6112
Phone (860) 944-4580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2400 | Other | CT | LICENSE |
Other providers in Meriden, CT
- Nicolas Antico
- Divya Reddy Anugu
- Apple Dental and Associates,LLC
- Appointed to Care LLC
- Karen Armstrong
- Rena Luger Aroesty
- Aspire Living & Learning
- Meghan Asplund
- Assisted Living Technologies, Inc.
- Athena Montowese SNF LLC
All providers in Meriden, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.