Provider Demographics
NPI:1023413937
Name:FAMILY THERAPY ASSOCIATES
Entity type:Organization
Organization Name:FAMILY THERAPY ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MACLETCHIE
Authorized Official - Last Name:EHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, EDD
Authorized Official - Phone:203-438-3139
Mailing Address - Street 1:1071 POST RD E
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5364
Mailing Address - Country:US
Mailing Address - Phone:203-438-3139
Mailing Address - Fax:
Practice Address - Street 1:1071 POST RD E
Practice Address - Street 2:SUITE 202
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5364
Practice Address - Country:US
Practice Address - Phone:203-438-3139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001184106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty