Organization
LANA LACHANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE-ALANA ANN CASSULLO LACHANCE (OWNER)
(203) 509-6254
Entity
Organization
Contact information
Practice address
346 MAIN ST S FL 2, WOODBURY, CT 06798-3409
(203) 509-6254
Mailing address
PO BOX 330, MIDDLEBURY, CT 06762-0330
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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