Provider Demographics
NPI:1851020846
Name:THERAPY BEYOND MEASURE
Entity Type:Organization
Organization Name:THERAPY BEYOND MEASURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MUSCOLINIO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-360-4647
Mailing Address - Street 1:16 DEACON ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06896-2009
Mailing Address - Country:US
Mailing Address - Phone:203-360-4647
Mailing Address - Fax:
Practice Address - Street 1:53 UNQUOWA PL
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5058
Practice Address - Country:US
Practice Address - Phone:203-360-4647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008108233Medicaid