Provider Demographics
NPI:1790188738
Name:HORNSTEIN, EVE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:EVE
Middle Name:
Last Name:HORNSTEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 LOCUST AVE APT 421
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-4744
Mailing Address - Country:US
Mailing Address - Phone:203-434-4092
Mailing Address - Fax:
Practice Address - Street 1:3 HOLLYHOCK RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4443
Practice Address - Country:US
Practice Address - Phone:203-434-4092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-05
Last Update Date:2020-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001683106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist