Provider Demographics
NPI:1679985501
Name:ASPIRE LIVING & LEARNING
Entity type:Organization
Organization Name:ASPIRE LIVING & LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AUYANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-317-2700
Mailing Address - Street 1:538 PRESTON AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-4851
Mailing Address - Country:US
Mailing Address - Phone:203-317-2700
Mailing Address - Fax:203-317-2897
Practice Address - Street 1:538 PRESTON AVE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-4851
Practice Address - Country:US
Practice Address - Phone:203-317-2700
Practice Address - Fax:203-317-2897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
CTOPCC-74251S00000X
CTDPH 0584251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health