Provider Demographics
NPI:1902685647
Name:ESTRELLA, LIANA CHRISTINE (LCSW)
Entity Type:Individual
Prefix:
First Name:LIANA
Middle Name:CHRISTINE
Last Name:ESTRELLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 N MAIN ST STE 317
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-2508
Mailing Address - Country:US
Mailing Address - Phone:860-937-3875
Mailing Address - Fax:860-856-7154
Practice Address - Street 1:345 N MAIN ST STE 317
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06117-2508
Practice Address - Country:US
Practice Address - Phone:860-937-3875
Practice Address - Fax:860-856-7154
Is Sole Proprietor?:No
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT011949101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health