Lifestages Consulting, LLC

Organization Active NPI Counselor · East Hampton, CT

NPI 1306091608 · NPPES record last updated Dec 1, 2008

Key facts

NPI
1306091608
Entity type
Organization (NPI type 2)
Primary specialty
Counselor 101Y00000X
License
000949 (CT)
Legal business name
LIFESTAGES CONSULTING, LLC
Practice address
15 Collie Brook Rd
East Hampton, CT 06424-1642
Phone
(860) 267-1597
Fax
(860) 267-1597
NPI assigned
Dec 1, 2008
Organization subpart
No

Authorized official

Name
Mary Ann Dayton Fitzgerald, PC
Title
Counselor
Phone
(860) 267-1597

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101Y00000X 000949 CT Yes

Addresses

Primary practice location

15 Collie Brook Rd
East Hampton, CT 06424-1642

Mailing address

15 Collie Brook Rd
East Hampton, CT 06424-1642
Phone (860) 267-1597

Other identifiers

IdentifierTypeStateIssuer
240000949CT02OtherCTANTHEM

Other providers in East Hampton, CT

All providers in East Hampton, CT · Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.