Healthcare Provider Details

I. General information

NPI: 1326962937
Provider Name (Legal Business Name): AMANDA SANCHIONI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 MAIN ST
WATERTOWN CT
06795-2627
US

IV. Provider business mailing address

80 GRABHERR RD
THOMASTON CT
06787-1038
US

V. Phone/Fax

Practice location:
  • Phone: 203-568-9445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10076
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: