Provider Demographics
NPI:1659892867
Name:AMPERSAND THERAPY LLC
Entity Type:Organization
Organization Name:AMPERSAND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-393-0887
Mailing Address - Street 1:66 CEDAR ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2646
Mailing Address - Country:US
Mailing Address - Phone:860-393-0887
Mailing Address - Fax:844-264-0236
Practice Address - Street 1:66 CEDAR ST STE 201
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2646
Practice Address - Country:US
Practice Address - Phone:860-393-0887
Practice Address - Fax:844-264-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health