Provider Demographics
NPI:1821750142
Name:NURTURING CONNECTIONS MARRIAGE AND FAMILY THERAPY, PLLC
Entity Type:Organization
Organization Name:NURTURING CONNECTIONS MARRIAGE AND FAMILY THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANHATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:513-781-9764
Mailing Address - Street 1:1 HUNTINGTON LN
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-9740
Mailing Address - Country:US
Mailing Address - Phone:513-781-9764
Mailing Address - Fax:
Practice Address - Street 1:5016 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-2356
Practice Address - Country:US
Practice Address - Phone:513-781-9764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty