Provider Demographics
NPI:1992510499
Name:STAND COUNSELING & COACHING
Entity type:Organization
Organization Name:STAND COUNSELING & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ITSUANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANALES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-715-4106
Mailing Address - Street 1:2911 DIXWELL AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3130
Mailing Address - Country:US
Mailing Address - Phone:203-715-4106
Mailing Address - Fax:
Practice Address - Street 1:2911 DIXWELL AVE STE 201
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3130
Practice Address - Country:US
Practice Address - Phone:203-715-4106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty