# STEPHANIE PANICO LLC

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

## Provider details

- **NPI number:** 1306712278
- **Authorized official:** STEPHANIE PANICO LMFT (SOLE MEMBER)
- **Authorized official phone:** (860) 352-0563

## Contact information

- **Practice address:** 38 PINE HILL RD, AVON, CT 06001-2703
- **Practice address phone:** (860) 352-0563
- **Mailing address:** 38 PINE HILL RD, AVON, CT 06001-2703
- **Mailing address phone:** (860) 352-0563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2025
- **Last updated:** 10/16/2025