Healthcare Provider Details

I. General information

NPI: 1487598181
Provider Name (Legal Business Name): AMANDA BYRNE LMFT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MAIN ST STE 1
MONROE CT
06468-2830
US

IV. Provider business mailing address

48 APPLEWOOD LN
MILFORD CT
06460-6806
US

V. Phone/Fax

Practice location:
  • Phone: 203-871-1265
  • Fax:
Mailing address:
  • Phone: 860-961-5084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. AMANDA JEAN BYRNE
Title or Position: OWNER
Credential: LMFT
Phone: 203-871-1265