# FAIRFIELD FAMILY THERAPY, LLC

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

## Provider details

- **NPI number:** 1780136655
- **Authorized official:** MR. CHARLES P. LEMIEUX III LMFT (MEMBER)
- **Authorized official phone:** (475) 888-9232

## Contact information

- **Practice address:** 140 SHERMAN ST FL 5, FAIRFIELD, CT 06824-5849
- **Practice address phone:** (203) 883-0803
- **Mailing address:** 140 SHERMAN ST FL 5, FAIRFIELD, CT 06824-5849
- **Mailing address phone:** (475) 888-9232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001375 | CT | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 12/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008043523 | — | CT |