Provider Demographics
NPI:1538631205
Name:STRATEGIC SOLUTIONS THERAPY LLC
Entity type:Organization
Organization Name:STRATEGIC SOLUTIONS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRELI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-283-9358
Mailing Address - Street 1:63 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3490
Mailing Address - Country:US
Mailing Address - Phone:203-283-9358
Mailing Address - Fax:203-283-9358
Practice Address - Street 1:63 CHERRY ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3490
Practice Address - Country:US
Practice Address - Phone:203-283-9358
Practice Address - Fax:203-283-9358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008070407Medicaid