Provider Demographics
NPI:1821394420
Name:KRISTEN HARRINGTON MARRIAGE & FAMILY THERAPY, PC
Entity Type:Organization
Organization Name:KRISTEN HARRINGTON MARRIAGE & FAMILY THERAPY, PC
Other - Org Name:KINGSTON INTEGRATIVE HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:845-532-6622
Mailing Address - Street 1:28 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4408
Mailing Address - Country:US
Mailing Address - Phone:845-532-6622
Mailing Address - Fax:
Practice Address - Street 1:28 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4408
Practice Address - Country:US
Practice Address - Phone:845-532-6622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000001106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty