IndividualActive
Joseph Mancinone, LMFT
NPI 1669866315 · Emotionally Disturbed Childrens' Residential Treatment Facility · Roxbury, CT
Provider details
- NPI number
- 1669866315
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001202 (CT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
271 Southbury Rd
Roxbury, CT 06783-2101
Phone: (203) 788-5119
Approximate (ZIP-level) locationGet directions
Mailing address
271 Southbury Rd
Roxbury, CT 06783-2101
Registry dates
- Enumerated
- 2015-03-20
- Last updated
- 2015-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.