Provider Demographics
NPI:1205294840
Name:KAREN E. GIUNTA, LMFT, LLC
Entity type:Organization
Organization Name:KAREN E. GIUNTA, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GIUNTA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-856-9555
Mailing Address - Street 1:411 PEQUOT AVE
Mailing Address - Street 2:P.O. BOX 843
Mailing Address - City:SOUTHPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06890-3303
Mailing Address - Country:US
Mailing Address - Phone:203-856-9555
Mailing Address - Fax:203-227-0433
Practice Address - Street 1:411 PEQUOT AVE
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:CT
Practice Address - Zip Code:06890-3303
Practice Address - Country:US
Practice Address - Phone:203-856-9555
Practice Address - Fax:203-227-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001121106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty