1508976218 NPI number — MS. RENEE EVELYN STRAINGE LMFT

Table of content: MS. RENEE EVELYN STRAINGE LMFT (NPI 1508976218)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508976218 NPI number — MS. RENEE EVELYN STRAINGE LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STRAINGE
Provider First Name:
RENEE
Provider Middle Name:
EVELYN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508976218
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3300 MAIN ST
Provider Second Line Business Mailing Address:
FAMILY RESOURCE ASSOC
Provider Business Mailing Address City Name:
STRATFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06614
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-378-4514
Provider Business Mailing Address Fax Number:
208-378-0443

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3300 MAIN ST
Provider Second Line Business Practice Location Address:
FAMILY RESOURCE ASSOC
Provider Business Practice Location Address City Name:
STRATFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-378-4514
Provider Business Practice Location Address Fax Number:
203-378-0443
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  000539 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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