Provider Demographics
NPI:1265863286
Name:TERRAS, HATINA (LPC)
Entity type:Individual
Prefix:
First Name:HATINA
Middle Name:
Last Name:TERRAS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 GOLD STAR HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-6227
Mailing Address - Country:US
Mailing Address - Phone:860-938-0072
Mailing Address - Fax:860-326-7986
Practice Address - Street 1:489 GOLD STAR HWY STE 200
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-6227
Practice Address - Country:US
Practice Address - Phone:860-938-0072
Practice Address - Fax:401-596-3289
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-01
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2457101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional