# OLD SAYBROOK YOUTH & FAMILY SERVICES

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

## Provider details

- **NPI number:** 1962721183
- **Authorized official:** HEATHER MCNEIL LMFT (DIRECTOR)
- **Authorized official phone:** (860) 395-3190

## Contact information

- **Practice address:** 322 MAIN ST, OLD SAYBROOK, CT 06475-2350
- **Practice address phone:** (860) 395-3190
- **Practice address fax:** (860) 395-3189
- **Mailing address:** 322 MAIN ST, OLD SAYBROOK, CT 06475-2350
- **Mailing address phone:** (860) 395-3190
- **Mailing address fax:** (860) 395-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041S0200X | School Social Worker | — | NULL | — |
| 1041S0200X | School Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 05/27/2010
