| Organization Name: | COUNSELING SERVICES OF LITCHFIELD COUNTY |
| NPI Number: | 1649571639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REGINA WAYNE (OWNER) |
| Mailing Address: | 200 Birge Park Rd Suite 2 Harwinton |
| State: | CT US |
| Postal Code: | 067911909 |
| Phone Number: | 8603097262 |
| Fax Number: | 8604859375 |
| NPI Enumeration Date: | 11/08/2010 |
| NPI Last Update Date: | 03/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 000360 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |