Individual
MR. WILLIAM HENRY LACHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMFT,BA, LMFT
Contact information
Practice address
402 E MAIN ST, WATERBURY OP ADULT SERVICES, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 598-1530
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001630
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008064304
—
CT
01
—
060669107
ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT
01
—
10450310-WATERBURY
BEACON HEALTH STRATEGIES
CT
01
—
13514433
CAQH
CT
01
—
PENDING
CIGNA BHAVIORAL HEALTH
CT
Enumeration date
10/29/2008
Last updated
06/16/2016
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