Provider Demographics
NPI:1154574564
Name:LACHUT, WILLIAM HENRY (MMFT,BA, LMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HENRY
Last Name:LACHUT
Suffix:
Gender:M
Credentials:MMFT,BA, LMFT
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Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-574-9000
Mailing Address - Fax:203-574-9006
Practice Address - Street 1:402 E MAIN ST
Practice Address - Street 2:WATERBURY OP ADULT SERVICES
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1701
Practice Address - Country:US
Practice Address - Phone:203-755-1143
Practice Address - Fax:203-598-1530
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2016-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT001630106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CT060669107OtherOPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
CT060669107OtherUBH/OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY
CT060669107OtherAETNA BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
CTPENDINGOtherCIGNA BHAVIORAL HEALTH
CTPENDINGOtherMHN/TRICARENORTH
CT008064304Medicaid
CT060669107OtherUBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT10450310-WATERBURYOtherBEACON HEALTH STRATEGIES
CT13514433OtherCAQH
CTPENDINGOtherMHN MANAGED HEALTH NETWORK
CT060669107OtherUBH-CONNECTICARE WELLMORE GRP/FACILITY
CTPENDINGOtherMHN/TRICARENORTH