Provider Demographics
NPI:1942327630
Name:T.E.A.M. HEALTH, INC.
Entity Type:Organization
Organization Name:T.E.A.M. HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERI
Authorized Official - Middle Name:H
Authorized Official - Last Name:TENCER-CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:860-844-0525
Mailing Address - Street 1:361 GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:N. GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06060-1008
Mailing Address - Country:US
Mailing Address - Phone:860-844-0525
Mailing Address - Fax:
Practice Address - Street 1:361 GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:N. GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06060-1008
Practice Address - Country:US
Practice Address - Phone:860-844-0525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001219101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT06157297OtherTIN