Individual
ELAINE STUART-THOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
25 W LAKEVIEW DR, GRANBY, CT 06035-1418
(860) 653-0682
(860) 653-0682
Mailing address
25 W LAKEVIEW DR, GRANBY, CT 06035-1418
(860) 653-0682
(860) 653-0682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000492
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000492CT02
ANTHEM BLUE CROSS, BLUE S
CT
01
—
62-97542
UNITED BEHAVIORAL HEALTH
CT
01
—
N107B
EMPIRE BLUE CROSS
CT
01
—
P2807741
OXFORD BEHAVIORAL HEALTH
CT
Enumeration date
10/17/2006
Last updated
07/08/2007
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