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STEPHANIE KATHERINE THIBODEAU
NPI 1164040911
Counselor - Mental Health in Yantic, CT

Active since July 08, 2020
63 SUNNYSIDE ST, YANTIC, CT 06389(860) 984-3579 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Katherine Thibodeau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE KATHERINE THIBODEAU (NPI 1164040911) is an individual mental health provider in Yantic, Connecticut and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1164040911
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE KATHERINE THIBODEAU
Location Address63 SUNNYSIDE STYantic, CT 06389-1010
Mailing Address63 Sunnyside StYantic, CT 06389-1010 · (860) 984-3579
Phone(860) 984-3579
Sole ProprietorNo
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1164040911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
63 SUNNYSIDE ST, Yantic, CT 06389
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Thibodeau's NPI number?

The NPI number for Stephanie Thibodeau is 1164040911. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Stephanie Thibodeau located?

Stephanie Thibodeau practices at 63 Sunnyside St, Yantic, CT 06389. The listed phone number is (860) 984-3579.

What is Stephanie Thibodeau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stephanie Thibodeau was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.