Provider Demographics
NPI:1780292573
Name:SILVA, KAREN (MS MFT, LMFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:MS MFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 DOUGLAS DR
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-5016
Mailing Address - Country:US
Mailing Address - Phone:203-379-8850
Mailing Address - Fax:
Practice Address - Street 1:609 W JOHNSON AVE STE 410
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-4505
Practice Address - Country:US
Practice Address - Phone:203-694-0752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-17
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2854106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist