Art Therapy of Hamden LLC
Organization Active NPI Professional Counselor · North Haven, CT
NPI 1669823191 · NPPES record last updated Sep 26, 2016
Key facts
- NPI
- 1669823191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 001399 (CT)
- Legal business name
- ART THERAPY OF HAMDEN LLC
- Practice address
- 2061 Whitney Ave
North Haven, CT 06473-4474 - Phone
- (203) 285-3053
- Fax
- (203) 907-4132
- NPI assigned
- Jun 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Margaret Josephine McGovern, LPC
- Title
- Director
- Phone
- (203) 285-3053
Practitioners 1
-
Margaret Josephine McGovern, LPC, ATR-BC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 001399 | CT | Yes |
Addresses
Primary practice location
2061 Whitney Ave
North Haven, CT 06473-4474
Mailing address
2061 Whitney Ave
North Haven, CT 06473-4474
Phone (203) 285-3053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004272332 | Medicaid | CT |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2016. 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.