Organization
PSYCHOLOGICAL HEALTH CENTER OF SUFFIELD, LLC
Active
Organization
PSYCHOLOGICAL HEALTH CENTER OF SUFFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LEE AYOTTE STAUFFER L.C.S.W. (OWNER)
(860) 989-7875
Entity
Organization
Contact information
Practice address
230B MOUNTAIN RD, LOWER LEVEL, SUFFIELD, CT 06078-2082
(860) 254-5991
Mailing address
880 BURBANK AVE STE 2B, SUFFIELD, CT 06078-1459
(860) 989-7875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
006144
CT
Other
Enumeration date
10/01/2008
Last updated
03/28/2023
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