PETALU'DA AUTISM SERVICES LLC NPI 1245578475

NPI Information

NPI: 1245578475
Provider Name: PETALU'DA AUTISM SERVICES LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
6 ELIZABETH LN
VERNON, CT
ZIP 06066
Phone: (860) 983-8112
Get Directions

PETALU'DA AUTISM SERVICES LLC is a professional counselor in Vernon, CT. PETALU'DA AUTISM SERVICES LLC NPI is 1245578475. The provider is registered as an organization entity type.

The provider's business location address is:

6 ELIZABETH LN
VERNON, CT
ZIP 06066-056
Phone: (860) 983-8112

The provider's authorized official is Keisha Powell .
The authorized official title is Autism Therapist and has the following contact phone number (860) 983-8112.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 11/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305S00000X	Point of Service		3928518916	CONNECTICUT	No
2	101YP2500X	Counselor	Professional	11211741	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »