Healthcare Provider Details

I. General information

NPI: 1619271624
Provider Name (Legal Business Name): TAMAR T SAUNDERS LCSW, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 02/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 TRIANGLE ST # I4
DANBURY CT
06810-6977
US

IV. Provider business mailing address

78 TRIANGLE ST # I4
DANBURY CT
06810-6977
US

V. Phone/Fax

Practice location:
  • Phone: 203-448-3200
  • Fax: 203-448-3199
Mailing address:
  • Phone: 203-448-3200
  • Fax: 203-448-3199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: