Provider Demographics
NPI:1932828266
Name:PSYCHOTHERAPY OF LITCHFIELD LLC
Entity Type:Organization
Organization Name:PSYCHOTHERAPY OF LITCHFIELD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-525-9453
Mailing Address - Street 1:PO BOX 938
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-0938
Mailing Address - Country:US
Mailing Address - Phone:860-600-0127
Mailing Address - Fax:
Practice Address - Street 1:427 CARMEL HILL RD N
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:CT
Practice Address - Zip Code:06751-1606
Practice Address - Country:US
Practice Address - Phone:860-600-0127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty