Self-Leadership Collaborative, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001798 Issued in CT

Legal business name

SELF-LEADERSHIP COLLABORATIVE, LLC

Practice address

66 Cedar St Ste 201
Newington, CT 06111-2646

Phone

(860) 575-1995

NPI assigned

May 25, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanna C Curry-Sartori, LMFT

Title

Director

Phone

(860) 575-1995

Specialties & licenses 1

Addresses

Other names 1

• Open Space Counseling and Consulting, LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1770011454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 201",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112646",
            "telephone_number": "860-575-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 201",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112646",
            "telephone_number": "860-575-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-LEADERSHIP COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "CURRY-SARTORI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-575-1995",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Space Counseling and Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jennifer Sarno, PT
• Andrea Schaffino, PTA
• Dajha Scott, LPC
• Nooran Scully, OT
• Richard Sears, RN
• Senior Philanthropy of Newington LLC (Newington Rapid Recovery Rehab Center)
• Laurel Sennett, PT
• Grishma Shah, PT
• Amaria Victoria Sharon, OD
• Zuleyka Morales Shaw, LMFTA

• Marriage & Family Therapist in Newington, CT
• Providers in Newington, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.