# SIDWAY COUNSELING, LLC

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

## Provider details

- **NPI number:** 1881965002
- **Authorized official:** MS. SUSAN P SIDWAY MS, LMFT (OWNER)
- **Authorized official phone:** (203) 525-2091

## Contact information

- **Practice address:** 76 WESTBURY PARK RD, SUITE 303E, WATERTOWN, CT 06795-2779
- **Practice address phone:** (203) 525-2091
- **Practice address fax:** (860) 417-6099
- **Mailing address:** 76 WESTBURY PARK RD, SUITE 303E, WATERTOWN, CT 06795-2779
- **Mailing address phone:** (203) 525-2091
- **Mailing address fax:** (860) 417-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001484 | CT | Yes |

## Other

- **Enumeration date:** 01/19/2012
- **Last updated:** 01/19/2012