# EMMAUS,LLC

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

## Provider details

- **NPI number:** 1912932344
- **Authorized official:** ANNA MARIE LOPICCOLO MS, LMFT (PRESIDENT)
- **Authorized official phone:** (860) 384-2552

## Contact information

- **Practice address:** 131 SADDLEBROOK PATH, SOUTHINGTON, CT 06489-4423
- **Practice address phone:** (860) 621-6023
- **Mailing address:** 131 SADDLEBROOK PATH, SOUTHINGTON, CT 06489-4423
- **Mailing address phone:** (860) 621-6023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | CT000779 | CT | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004244125 | — | CT |
| 01 | — | 410000779CT01 | ANTHEM PROVIDER NUMBER | CT |
| 01 | — | 62-59512 | UBH PROVIDER NUMBER | CT |