Provider Demographics
NPI:1619701125
Name:REYES HARRINGTON, LIZ (LMSW)
Entity type:Individual
Prefix:
First Name:LIZ
Middle Name:
Last Name:REYES HARRINGTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:REYES HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:44 S CROSSING WAY
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-1667
Mailing Address - Country:US
Mailing Address - Phone:917-750-7546
Mailing Address - Fax:
Practice Address - Street 1:828 FEDERAL RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-1847
Practice Address - Country:US
Practice Address - Phone:800-611-0185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0632851041C0700X
CT58661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical