# ELAINE TAVANI, MS, LMFT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023409869
- **Authorized official:** ELAINE RENEE TAVANI MS, LMFT (SOLE MEMBER)
- **Authorized official phone:** (860) 916-0204

## Contact information

- **Practice address:** 41C NEW LONDON TPKE, GLASTONBURY, CT 06033-4206
- **Practice address phone:** (860) 916-0204
- **Mailing address:** 41C NEW LONDON TPKE, GLASTONBURY, CT 06033-4206
- **Mailing address phone:** (860) 916-0204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001521 | CT | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015