Active NPIIndividual provider

Stephanie K Thibodeau

Counselor, Mental Health in Yantic, Connecticut

NPI Number1164040911
Practice location
63 Sunnyside St, Yantic, CT 06389-1010
Fax
—
Last updated
July 8, 2020

Stephanie Katherine Thibodeau is a Counselor, Mental Health based in Yantic, CT. Stephanie Katherine Thibodeau practices in Yantic, CT. The NPI Number for Stephanie Katherine Thibodeau is 1164040911. The current practice location address for Stephanie Katherine Thibodeau is 63 Sunnyside St, Yantic, CT 06389-1010 and can be reached out via phone at 860-984-3579.

Provider Profile Details

NPI Number
1164040911
Provider Name
Stephanie Katherine Thibodeau
Provider Entity Type
Individual
Gender
Female
Address
63 Sunnyside St, Yantic, CT 06389-1010
Phone Number
860-984-3579
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2020
Last Update Date
July 8, 2020
Certification Date
July 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Sunnyside St
Yantic, CT 06389-1010
City
Yantic
Zip
06389-1010
Phone Number
860-984-3579
Yantic, CT 06389Get directions →

Provider Business Mailing Address Details

Address
63 Sunnyside St
Yantic, CT 06389-1010
City
Yantic
State
CT
Zip
06389-1010
Phone Number
860-984-3579

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephanie K Thibodeau?

The NPI number of Stephanie K Thibodeau is 1164040911. It was assigned on July 8, 2020 and is currently active in the NPPES registry.

What is the specialty of Stephanie K Thibodeau?

Stephanie K Thibodeau is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Stephanie K Thibodeau practice?

The practice location is 63 Sunnyside St, Yantic, CT 06389-1010. The office can be reached at 860-984-3579 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164040911 directly on the NPPES registry website.

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