Provider Demographics
NPI:1548911282
Name:STAHR FAMILY THERAPY LLC
Entity type:Organization
Organization Name:STAHR FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:810-569-5104
Mailing Address - Street 1:48 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:CT
Mailing Address - Zip Code:06370-1707
Mailing Address - Country:US
Mailing Address - Phone:860-569-5104
Mailing Address - Fax:
Practice Address - Street 1:9 AUSTIN DR
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1375
Practice Address - Country:US
Practice Address - Phone:810-569-5104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty