KELLEY SGROI LYNC NPI 1629340823

NPI Information

NPI: 1629340823
Provider Name: KELLEY SGROI, LYNC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
17 S HIGHLAND ST
WEST HARTFORD, CT
ZIP 06119
Phone: (860) 258-4171
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Kelley Sgroi, LYNC is a mental health counselor in West Hartford, CT. Kelley Sgroi, LYNC NPI is 1629340823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17 S HIGHLAND ST
WEST HARTFORD, CT
ZIP 06119-826
Phone: (860) 258-4171

The enumeration date for this NPI number is 2/2/2012 and was last updated on 10/28/2021.

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	101YP2500X	Counselor	Professional	003449	CONNECTICUT	No
2	124Q00000X	Dental Hygienist		005958	CONNECTICUT	No
3	101YM0800X	Counselor	Mental Health	MH17027	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1629340823	MEDICAID	CONNECTICUT

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

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