Andover, Hebron, Marlborough Youth & Family Services, Inc.
Organization Active NPI Marriage & Family Therapist · Hebron, CT
NPI 1801050398 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1801050398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- ANDOVER, HEBRON, MARLBOROUGH YOUTH & FAMILY SERVICES, INC.
- Practice address
- 25 Pendleton Dr
Hebron, CT 06248-1525 - Phone
- (860) 228-9488
- Fax
- (860) 228-1213
- NPI assigned
- Jul 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sarah Kate Ekvall
- Title
- Clinical Department
- Phone
- (860) 228-9488
Practitioners 9
-
Megan C. Aldridge, LMFT
-
Victoria K Deveau, LCSW
-
Danielle Nicole Murphy, LCSW
-
Sandra Louise Plummer, L.M.F.T.
-
Cheri Anne Rivard-Lentz, LMFT
-
Clay Valentin, LCSW
National Provider Directory
Locations
25 Pendleton Dr
Hebron, CT 06248
Phone (860) 228-9488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
25 Pendleton Dr
Hebron, CT 06248-1525
Mailing address
25 Pendleton Dr
Hebron, CT 06248-1525
Phone (860) 228-9488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008064980 | Medicaid | CT | |
| 004258192 | Medicaid | CT | |
| 008014267 | Medicaid | CT |
Other providers in Hebron, CT
- Megan C. Aldridge
- Americare Medical Supply L.L.C.
- Kelly Rogers Ayen
- Joseph J Barone
- Alexander Bartis
- Susan Robin Bass
- Aaliyah Jordan Black
All providers in Hebron, 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 Jul 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.