Healthcare Provider Details

I. General information

NPI: 1942120621
Provider Name (Legal Business Name): ANCIENT CARE PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2389 MAIN ST
GLASTONBURY CT
06033-4617
US

IV. Provider business mailing address

2389 MAIN ST
GLASTONBURY CT
06033-4617
US

V. Phone/Fax

Practice location:
  • Phone: 860-659-4757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LAUREN M. FRANZA
Title or Position: PSYCHIATRIC MENTAL HEALTH NP
Credential: APRN PMHNP-BC
Phone: 860-707-3277