Provider Demographics
NPI:1023384450
Name:COUNSELING SOLUTIONS OF CHESHIRE, LLC
Entity Type:Organization
Organization Name:COUNSELING SOLUTIONS OF CHESHIRE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:GIRARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-272-3055
Mailing Address - Street 1:345 HIGHLAND AVE
Mailing Address - Street 2:102
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2550
Mailing Address - Country:US
Mailing Address - Phone:203-272-3055
Mailing Address - Fax:203-272-3303
Practice Address - Street 1:345 HIGHLAND AVE
Practice Address - Street 2:102
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2550
Practice Address - Country:US
Practice Address - Phone:203-272-3055
Practice Address - Fax:203-272-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0053151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty