Provider Demographics
NPI:1730722356
Name:CONNECTED PSYCHOLOGICAL SERVICES & CONSULTING, LLC
Entity type:Organization
Organization Name:CONNECTED PSYCHOLOGICAL SERVICES & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:860-208-3719
Mailing Address - Street 1:32 HUNTERS RUN
Mailing Address - Street 2:
Mailing Address - City:STORRS MANSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06268-2749
Mailing Address - Country:US
Mailing Address - Phone:860-208-3719
Mailing Address - Fax:
Practice Address - Street 1:32 HUNTERS RUN
Practice Address - Street 2:
Practice Address - City:STORRS MANSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06268-2749
Practice Address - Country:US
Practice Address - Phone:860-208-3719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health