Provider Demographics
NPI:1811331853
Name:MARCELA HAENDLER LLC
Entity type:Organization
Organization Name:MARCELA HAENDLER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAENDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC NCC
Authorized Official - Phone:203-505-8455
Mailing Address - Street 1:935 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 204A
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4547
Mailing Address - Country:US
Mailing Address - Phone:203-505-8455
Mailing Address - Fax:203-221-8179
Practice Address - Street 1:935 WHITE PLAINS RD
Practice Address - Street 2:SUITE 204A
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4547
Practice Address - Country:US
Practice Address - Phone:203-505-8455
Practice Address - Fax:203-221-8179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty