Provider Demographics
NPI:1376729624
Name:JUDY CABECEIRAS
Entity Type:Organization
Organization Name:JUDY CABECEIRAS
Other - Org Name:SOLUTIONS PSYCHOTHERAPY, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CABECEIRAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-693-1708
Mailing Address - Street 1:50 ALBANY TPKE
Mailing Address - Street 2:SUITE 5036
Mailing Address - City:CANTON
Mailing Address - State:CT
Mailing Address - Zip Code:06019-2516
Mailing Address - Country:US
Mailing Address - Phone:860-693-1708
Mailing Address - Fax:860-693-1758
Practice Address - Street 1:50 ALBANY TPKE
Practice Address - Street 2:SUITE 5036
Practice Address - City:CANTON
Practice Address - State:CT
Practice Address - Zip Code:06019-2516
Practice Address - Country:US
Practice Address - Phone:860-693-1708
Practice Address - Fax:860-693-1758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001212251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004271392Medicaid