Provider Demographics
NPI:1730534082
Name:HOULDING, SYBIL (LCSW)
Entity type:Individual
Prefix:
First Name:SYBIL
Middle Name:
Last Name:HOULDING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 CHURCH ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2026
Mailing Address - Country:US
Mailing Address - Phone:203-495-9378
Mailing Address - Fax:
Practice Address - Street 1:129 CHURCH ST
Practice Address - Street 2:SUITE 308
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-2026
Practice Address - Country:US
Practice Address - Phone:203-495-9378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-24
Last Update Date:2016-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0002151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical