Healthcare Provider Details

I. General information

NPI: 1366373458
Provider Name (Legal Business Name): SELEENA ROSADO LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

594 PUTNAM RD
DANIELSON CT
06239-2008
US

IV. Provider business mailing address

3 PUTNAM PL APT 4
BROOKLYN CT
06234-1945
US

V. Phone/Fax

Practice location:
  • Phone: 401-215-0354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3864
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: