# SHERYL LACOURSIERE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integral Psychiatric Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053737965
- **Authorized official:** DR. SHERYL LACOURSIERE PHD, APRN (OWNER)
- **Authorized official phone:** (203) 264-8000

## Contact information

- **Practice address:** 2 POMPERAUG OFFICE PARK STE 105, SOUTHBURY, CT 06488-2289
- **Practice address phone:** (203) 264-8000
- **Practice address fax:** (203) 841-1246
- **Mailing address:** 2 POMPERAUG OFFICE PARK STE 105, SOUTHBURY, CT 06488-2289
- **Mailing address phone:** (203) 264-8000
- **Mailing address fax:** (203) 841-1246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TP0016X | Prescribing (Medical) Psychologist | — | NULL | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | — | — |
| 363LF0000X | Family Nurse Practitioner | 3861 | CT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3861 | CT | Yes |

## Other

- **Enumeration date:** 03/16/2014
- **Last updated:** 09/25/2020