Provider Demographics
NPI:1902199557
Name:KAREN FOLEY-SCHAIN MA MED LLC
Entity Type:Organization
Organization Name:KAREN FOLEY-SCHAIN MA MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:F
Authorized Official - Last Name:FOLEY-SCHAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MED
Authorized Official - Phone:860-508-0332
Mailing Address - Street 1:245 REDWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040
Mailing Address - Country:US
Mailing Address - Phone:860-508-0332
Mailing Address - Fax:
Practice Address - Street 1:245 REDWOOD RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-6333
Practice Address - Country:US
Practice Address - Phone:860-508-0332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000198101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty