Provider Demographics
NPI:1821171117
Name:SHERMAN HILL COUNSELING & THERAPY CENTER, LLC
Entity Type:Organization
Organization Name:SHERMAN HILL COUNSELING & THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PAVLICK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:860-567-0852
Mailing Address - Street 1:286 TORRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-2725
Mailing Address - Country:US
Mailing Address - Phone:860-567-0852
Mailing Address - Fax:860-567-2667
Practice Address - Street 1:286 TORRINGTON RD
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:CT
Practice Address - Zip Code:06759-2725
Practice Address - Country:US
Practice Address - Phone:860-567-0852
Practice Address - Fax:860-567-2667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT39011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty