Healthcare Provider Details

I. General information

NPI: 1295663433
Provider Name (Legal Business Name): AMK COUNSELING & THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 SETTLEMENT CIR
SUFFIELD CT
06078-2377
US

IV. Provider business mailing address

19 SETTLEMENT CIR
SUFFIELD CT
06078-2377
US

V. Phone/Fax

Practice location:
  • Phone: 860-559-9377
  • Fax:
Mailing address:
  • Phone: 860-559-9377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DONNA BERNARDI-AGNES
Title or Position: MANAGING MEMBER
Credential: LPC, LMHC
Phone: 860-559-9377