Provider Demographics
NPI:1265878391
Name:SAGE COUNSELING ASSOCIATES, LLC
Entity type:Organization
Organization Name:SAGE COUNSELING ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GISELLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHOCHET
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-655-8035
Mailing Address - Street 1:1050 SULLIVAN AVE
Mailing Address - Street 2:SUITE C1
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-2000
Mailing Address - Country:US
Mailing Address - Phone:860-533-7243
Mailing Address - Fax:860-533-7243
Practice Address - Street 1:1050 SULLIVAN AVE
Practice Address - Street 2:SUITE C1
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-2000
Practice Address - Country:US
Practice Address - Phone:860-533-7243
Practice Address - Fax:860-533-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty