Healthcare Provider Details

I. General information

NPI: 1972431898
Provider Name (Legal Business Name): AMY DANNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY OFFENBACH

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 WETHERSFIELD AVE STE 2
HARTFORD CT
06114-1438
US

IV. Provider business mailing address

987 S MERIDEN RD
CHESHIRE CT
06410-1843
US

V. Phone/Fax

Practice location:
  • Phone: 860-236-4511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11383
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: