Provider Demographics
NPI:1851935654
Name:COLLEEN DOLAN, LMFT, LLC
Entity Type:Organization
Organization Name:COLLEEN DOLAN, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-980-2212
Mailing Address - Street 1:10 DALE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1815
Mailing Address - Country:US
Mailing Address - Phone:860-215-4693
Mailing Address - Fax:
Practice Address - Street 1:10 DALE ST FL 2
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1815
Practice Address - Country:US
Practice Address - Phone:860-215-4693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health