Provider Demographics
NPI:1164054698
Name:AMERICAN CENTER FOR COGNITIVE BEHAVIORAL TRAINING AND TREATMENT,LLC
Entity Type:Organization
Organization Name:AMERICAN CENTER FOR COGNITIVE BEHAVIORAL TRAINING AND TREATMENT,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF CLINICAL PROG
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORDIER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MALPC
Authorized Official - Phone:860-430-5515
Mailing Address - Street 1:14 AUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-2423
Mailing Address - Country:US
Mailing Address - Phone:860-558-4694
Mailing Address - Fax:860-430-9754
Practice Address - Street 1:351 PITKIN ST FL 17
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-6221
Practice Address - Country:US
Practice Address - Phone:860-430-5515
Practice Address - Fax:860-430-9754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty