Provider Demographics
NPI:1629723010
Name:TANYA STRONTZER COUNSELING LLC
Entity Type:Organization
Organization Name:TANYA STRONTZER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANAYA
Authorized Official - Middle Name:W
Authorized Official - Last Name:STRONTZER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-812-0584
Mailing Address - Street 1:95 PARK TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-5244
Mailing Address - Country:US
Mailing Address - Phone:203-812-0584
Mailing Address - Fax:
Practice Address - Street 1:95 PARK TERRACE AVE
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-5244
Practice Address - Country:US
Practice Address - Phone:203-812-0584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)