Provider Demographics
NPI:1538455431
Name:CONANT ASSOCIATES LLC
Entity type:Organization
Organization Name:CONANT ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:CONANT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:207-475-4156
Mailing Address - Street 1:PO BOX 531
Mailing Address - Street 2:
Mailing Address - City:EAST WAKEFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03830-0531
Mailing Address - Country:US
Mailing Address - Phone:207-475-4156
Mailing Address - Fax:
Practice Address - Street 1:435 RT 1
Practice Address - Street 2:SUITE 2
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904
Practice Address - Country:US
Practice Address - Phone:207-475-4156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty