Provider Demographics
NPI:1770721011
Name:THE LAAM INC
Entity type:Organization
Organization Name:THE LAAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:MUSE-MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, LPC
Authorized Official - Phone:203-334-5500
Mailing Address - Street 1:1115 MAIN ST STE 309
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-4415
Mailing Address - Country:US
Mailing Address - Phone:203-334-5500
Mailing Address - Fax:
Practice Address - Street 1:1115 MAIN ST STE 309
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-4415
Practice Address - Country:US
Practice Address - Phone:203-334-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000786251S00000X
CT001780251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health