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MIRACLES TO DESTINY NPI 1508201518


NPI Information

NPI: 1508201518
Provider Name: MIRACLES TO DESTINY

Doing Business As: THELMAL EPPS

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
61 ARROW RD
STE. 103
WETHERSFIELD, CT
ZIP 06109
Phone: (860) 436-4811
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MIRACLES TO DESTINY is an addiction (substance use disorder) counselor in Wethersfield, CT. MIRACLES TO DESTINY NPI is 1508201518. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thelmal Epps.

The provider's business location address is:

61 ARROW RD
STE. 103
WETHERSFIELD, CT
ZIP 06109-357
Phone: (860) 436-4811
Fax: (860) 461-1911

The provider's authorized official is Thelma Marie Epps .
The authorized official title is Owner/therapist and has the following contact phone number (860) 436-4811.

The enumeration date for this NPI number is 5/3/2013 and was last updated on 5/3/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor00937CONNECTICUTNo
2101YM0800XCounselorMental Health000937CONNECTICUTNo
3101YA0400XCounselorAddiction (Substance Use Disorder)00937CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11649574799MEDICAIDCONNECTICUT

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

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