MRS. MILLICENT CHACE LEUBA (NPI# 1881704005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881704005 |
| Entity Type | Individual |
| Full Name | MRS. MILLICENT CHACE LEUBA |
| Other Name | MIMI CHACE LEUBA |
| Practice Address |
910 Sport Hill Rd Easton CT 06612-1250 |
| Practice Telephone | 2032681715 |
| Practice Fax Number | 2032682051 |
| Mailing Telephone | 2032681715 |
| Mailing Fax Number | 2032682051 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 000045 | CT | Behavioral Health & Social Service Providers |
| Street Address |
910 SPORT HILL RD |
| City | EASTON |
| State | CT |
| Zip Code | 06612-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386029247 | Fairfield County Senior Services, L.L.C. | Adult Companion | 52 Marsh Rd, Easton, CT 06612 | 2015-07-21 |
| 1821142662 | Courtney Griffin Mase | Pharmacist | 50 Fieldstone Dr, Easton, CT 06612-1016 | 2007-01-22 |
| 1578791745 | Marina Vasilievna Polskaya | Internal Medicine | 65 Hunting Ridge Rd, Easton, CT 06612-1018 | 2009-06-26 |
| 1194835231 | Madeleine B Moller | Social Worker | 260 Maple Rd, Easton, CT 06612-1033 | 2006-08-30 |
| 1124313630 | Lawrence Beninati | Pharmacist | 151 North St, Easton, CT 06612-1039 | 2011-06-13 |
| 1871697946 | Evangeline Santos Specht | Internal Medicine | 60 Sky Line Dr, Easton, CT 06612-1056 | 2006-09-11 |
| 1760011043 | Lauren Cusick | Student in an Organized Health Care Education/Training Program | 12 Canterbury Ln, Easton, CT 06612-1263 | 2020-04-07 |
| 1023465374 | Max Kalkstein | Acupuncturist | 11 Canterbury Ln, Easton, CT 06612-1263 | 2016-05-17 |
| 1578196259 | Harry Migenes | Social Worker | 193 Westport Rd, Easton, CT 06612-1329 | 2020-02-20 |
| 1245830363 | Mindful Resolutions Psychotherapeutic Services LLC | Social Worker | 193 Westport Rd, Easton, CT 06612-1329 | 2020-10-28 |
| Find all providers in zip 06612 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326244401 | Frances White | Marriage & Family Therapist | 9199 High Banks Drive, Easton, MD 21601 | 2007-06-25 |
| 1184776312 | Michael Fontana | Marriage & Family Therapist | 13 Fresh Meadow Rd, Easton, CT 06612-2215 | 2007-01-17 |
| 1669409850 | Christine Michele Wilke | Marriage & Family Therapist | 139 N Third St, Easton, PA 18042 | 2006-06-26 |
| 1235779455 | Tara Gans | Marriage & Family Therapist | 116 Mile Common Rd, Easton, CT 06612-1506 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294056 | Keyndra Lewis | Marriage & Family Therapist | 116 Courtland Ave, Waterbury, CT 06705-2412 | 2020-10-27 |
| 1619576949 | Ileana Graf | Marriage & Family Therapist | 225 N Main St Ste 301, Bristol, CT 06010-4993 | 2020-10-19 |
| 1013515659 | Where Healing Begins LLC | Marriage & Family Therapist | 674 Prospect Ave Ste 102, Hartford, CT 06105-4288 | 2020-10-15 |
| 1588262810 | Stacie Handel | Marriage & Family Therapist | 859 Kings Hwy E, Fairfield, CT 06825-5421 | 2020-10-09 |
| 1184221566 | Laura Renee Becker | Marriage & Family Therapist | 12 Rock Ridge Rd, Newtown, CT 06470-1809 | 2020-10-08 |
| 1962009803 | Eric Matthew Rutter | Marriage & Family Therapist | 125 Brinsmayd Ave, Stratford, CT 06614-1328 | 2020-10-05 |
| 1275130320 | Jill D Donohue | Marriage & Family Therapist | 353 Mcclintock St, New Britain, CT 06053-2018 | 2020-10-01 |
| 1871100388 | Lp Counseling Services, LLC | Marriage & Family Therapist | 470 James St Ste 7, New Haven, CT 06513-3175 | 2020-09-29 |
| 1639786239 | Dannielle Elizabeth Wright | Marriage & Family Therapist | 1080 Elm St Ste 101, Rocky Hill, CT 06067-1844 | 2020-09-28 |
| 1326655200 | Stephanie Simard | Marriage & Family Therapist | 257 N Washington St, Plainville, CT 06062-1639 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.