Healthcare Provider Details

I. General information

NPI: 1386847200
Provider Name (Legal Business Name): AVA KORDANSKY MA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 SO MAIN ST SUITE 208
WEST HARTFORD CT
06107
US

IV. Provider business mailing address

12 QUAIL HOLLOW
WEST HARTFORD CT
06107
US

V. Phone/Fax

Practice location:
  • Phone: 860-232-9228
  • Fax: 860-236-5110
Mailing address:
  • Phone: 860-232-9228
  • Fax: 860-236-5110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number59186
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000375
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: