# CASIANO CLINICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1528504636
- **Authorized official:** DR. NOEL CASIANO PSYD, LMFT (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (860) 792-6999

## Contact information

- **Practice address:** 19 MAY ST, HARTFORD, CT 06105-1519
- **Practice address phone:** (860) 792-6999
- **Practice address fax:** (860) 524-0418
- **Mailing address:** 19 MAY ST, HARTFORD, CT 06105-1519
- **Mailing address phone:** (860) 792-6999
- **Mailing address fax:** (860) 524-0418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001765 | CT | Yes |

## Other

- **Enumeration date:** 01/12/2017
- **Last updated:** 01/12/2017
