Provider Demographics
NPI:1689945131
Name:VANSCHAACK COUNSELING, LLC
Entity Type:Organization
Organization Name:VANSCHAACK COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:VANSCHAACK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-430-8311
Mailing Address - Street 1:81 SIMONDS AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06019-3239
Mailing Address - Country:US
Mailing Address - Phone:860-430-8311
Mailing Address - Fax:860-651-9558
Practice Address - Street 1:538 HOPMEADOW ST
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-2415
Practice Address - Country:US
Practice Address - Phone:860-430-8311
Practice Address - Fax:860-651-9558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-14
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001338106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty