Provider Demographics
NPI:1083592570
Name:HUMAN CONNECTION MARRIAGE AND FAMILY THERAPY PLLC
Entity type:Organization
Organization Name:HUMAN CONNECTION MARRIAGE AND FAMILY THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:716-997-3831
Mailing Address - Street 1:4230 N BUFFALO RD STE 3
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2424
Mailing Address - Country:US
Mailing Address - Phone:716-997-3831
Mailing Address - Fax:
Practice Address - Street 1:4230 N BUFFALO RD STE 3
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2424
Practice Address - Country:US
Practice Address - Phone:716-997-3831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty