| Lifestages Consulting, Llc | |
|
15 Collie Brook Rd East Hampton CT 06424-1642 | |
| (860) 267-1597 | |
| (860) 267-1597 |
| Full Name | Lifestages Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 15 Collie Brook Rd, East Hampton, Connecticut |
| Authorized Official Name and Position | Mary Ann Dayton Fitzgerald (COUNSELOR) |
| Authorized Official Contact | 8602671597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestages Consulting, Llc 15 Collie Brook Rd East Hampton CT 06424-1642 Ph: (860) 267-1597 | Lifestages Consulting, Llc 15 Collie Brook Rd East Hampton CT 06424-1642 Ph: (860) 267-1597 |
| NPI Number | 1306091608 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 12/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306091608 | NPI | - | NPPES |
| 240000949CT02 | Other | CT | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 000949 (Connecticut) | Primary |
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