PSYCHOLOGICAL HEALTH CENTER OF SUFFIELD, LLC
Agencies at Mountain Rd, Suffield, CT

License number
Connecticut 006144
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: SHANNON LEE AYOTTE STAUFFER L.C.S.W.
Title: OWNER
Phone: (860) 254-5991
Address
Address
230B Mountain Rd, Suffield, CT 06078
National Provider ID: 1104077759
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PSYCHOLOGICAL HEALTH CENTER OF SUFFIELD, LLC

880 Burbank Ave, Suffield, CT 06078

Registration:
May 19, 2006
State ID:
0860801
Business type:
Domestic Limited Liability Company
Member:
Shannon Ayotte Stauffer (Member), 880 Burbank Ave, Suffield, CT 06078 (Mailing)
1831 Hl St, Suffield, CT (Physical)
Agent:
Shannon L Ayotte Stauffer,1831 Hl St, Suffield, CT (Mailing)

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