Healthcare Provider Details

I. General information

NPI: 1629751110
Provider Name (Legal Business Name): SANATIVE THERAPY & COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 MILL PLAIN RD STE 312B
DANBURY CT
06811-5114
US

IV. Provider business mailing address

36 MILL PLAIN RD STE 312B
DANBURY CT
06811-5114
US

V. Phone/Fax

Practice location:
  • Phone: 203-947-3210
  • Fax:
Mailing address:
  • Phone: 203-947-3210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: YVETTE Y VARGAS
Title or Position: OWNER
Credential: LADC
Phone: 203-947-3210