Healthcare Provider Details

I. General information

NPI: 1376472167
Provider Name (Legal Business Name): KINDRED KONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 COLUMBIA RD
WINDSOR CT
06095-3820
US

IV. Provider business mailing address

152 COLUMBIA RD
WINDSOR CT
06095-3820
US

V. Phone/Fax

Practice location:
  • Phone: 860-543-3974
  • Fax:
Mailing address:
  • Phone: 860-543-3974
  • Fax: 860-543-3974

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: ANTOINETTE KEATON
Title or Position: PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 860-543-3974