Provider Demographics
NPI:1952760803
Name:DARBONSHIRE, LLC
Entity Type:Organization
Organization Name:DARBONSHIRE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DARBY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-313-1662
Mailing Address - Street 1:304 WAHACKME RD
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-3936
Mailing Address - Country:US
Mailing Address - Phone:203-313-1662
Mailing Address - Fax:203-966-8682
Practice Address - Street 1:304 WAHACKME RD
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-3936
Practice Address - Country:US
Practice Address - Phone:203-313-1662
Practice Address - Fax:203-966-8682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-21
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002829261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health