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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