State Of Connecticut is a Counselor Clinic in Farmington, Connecticut. It is located at 263 Farmington Avenue, Farmington, CT and its contact number is 860-679-2916. The authorized person for State Of Connecticut is Jeffrey Geoghegan
who is Chief Financial Officer of the clinic and his/her contact number is 860-679-3162. The primary license number for State Of Connecticut is 00065 (General Acute Care Hospital) in Connecticut.
State Of Connecticut Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
State Of Connecticut Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | State Of Connecticut |
| Specialization: | Professional Counselor |
| Clinic Address: | 263 Farmington Avenue, Farmington,
Connecticut, 06030-5355 |
| Phone: | 860-679-2916 |
| Fax: | 860-679-3071 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jeffrey Geoghegan |
| Position: | Chief Financial Officer |
| Contact Number: | 860-679-3162 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for State Of Connecticut clinic are as mentioned below.
| NPI Number: | 1669466561 |
| NPI Enumeration Date: | 07 Sep, 2005 |
| NPI Last Update On: | 04 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Of Connecticut are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | 00065 | Connecticut | Primary | |
| Professional | 00065 | Connecticut | Secondary | |
| Psychologist | 00065 | Connecticut | Secondary | |
| Clinical | 00065 | Connecticut | Secondary | |
| Emergency Medicine | | Connecticut | Secondary | |
| Emergency Care | 00065 | Connecticut | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4041968 | Medicaid | Connecticut | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | State Of Connecticut
263 Farmington Avenue,
Farmington, Connecticut |
| Zip: | 06030-5355 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach State Of Connecticut at
263 Farmington Avenue, Farmington, Connecticut or can
call to book an appointment on 860-679-2916.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.