Provider Demographics
NPI:1497141451
Name:WINANS, ERYN
Entity Type:Individual
Prefix:
First Name:ERYN
Middle Name:
Last Name:WINANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERYN
Other - Middle Name:
Other - Last Name:WISSENBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:995 DAY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-1722
Mailing Address - Country:US
Mailing Address - Phone:860-731-5522
Mailing Address - Fax:860-731-5536
Practice Address - Street 1:433 VALLEY ST
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-1901
Practice Address - Country:US
Practice Address - Phone:860-456-7200
Practice Address - Fax:860-456-1683
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor