Provider Demographics
NPI:1881956175
Name:PORCZAK, ANETA (LMFT)
Entity type:Individual
Prefix:MS
First Name:ANETA
Middle Name:
Last Name:PORCZAK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ANETA
Other - Middle Name:
Other - Last Name:LETNIOWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:45 S MAIN ST STE 308
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2402
Mailing Address - Country:US
Mailing Address - Phone:860-255-8460
Mailing Address - Fax:860-310-1901
Practice Address - Street 1:45 S MAIN ST STE 308
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2402
Practice Address - Country:US
Practice Address - Phone:860-255-8460
Practice Address - Fax:860-310-1901
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1936106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist