Provider Demographics
NPI:1538761994
Name:HEALTHY CONNECTIONS THERAPY
Entity type:Organization
Organization Name:HEALTHY CONNECTIONS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:QUENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-458-6454
Mailing Address - Street 1:19 MANSFIELD HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD CENTER
Mailing Address - State:CT
Mailing Address - Zip Code:06250-1322
Mailing Address - Country:US
Mailing Address - Phone:860-458-6454
Mailing Address - Fax:833-341-5696
Practice Address - Street 1:19 MANSFIELD HOLLOW RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD CENTER
Practice Address - State:CT
Practice Address - Zip Code:06250-1322
Practice Address - Country:US
Practice Address - Phone:860-458-6454
Practice Address - Fax:833-341-5696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty