Provider Demographics
NPI:1114676103
Name:APONTI CHILD AND FAMILY COUNSELING LLC
Entity Type:Organization
Organization Name:APONTI CHILD AND FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYLICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-595-2680
Mailing Address - Street 1:100 GREAT HILL RD
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1013
Mailing Address - Country:US
Mailing Address - Phone:203-804-9668
Mailing Address - Fax:
Practice Address - Street 1:30 CONTROLS DR
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6157
Practice Address - Country:US
Practice Address - Phone:860-595-2680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty