Provider Demographics
NPI:1326694886
Name:STAGES OF CHANGE COUNSELING
Entity Type:Organization
Organization Name:STAGES OF CHANGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STINA
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-312-3812
Mailing Address - Street 1:8 BANKSIDE TRL
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1261
Mailing Address - Country:US
Mailing Address - Phone:203-312-3812
Mailing Address - Fax:
Practice Address - Street 1:495 ORANGE ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3809
Practice Address - Country:US
Practice Address - Phone:203-312-3812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty