TR COUNSELING & WELLNESS LLC NPI 1629494232

NPI Information

NPI: 1629494232
Provider Name: TR COUNSELING & WELLNESS LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
30 HAZEL TERRACE
SUITE 11
WOODBRIDGE, CT
ZIP 06525
Phone: (203) 819-7650
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TR COUNSELING & WELLNESS LLC is a mental health counselor in Woodbridge, CT. TR COUNSELING & WELLNESS LLC NPI is 1629494232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 HAZEL TERRACE
SUITE 11
WOODBRIDGE, CT
ZIP 06525-240
Phone: (203) 819-7650

The provider's authorized official is Thomas James Reilly .
The authorized official title is Owner Therapist and has the following contact phone number (203) 819-7650.

The enumeration date for this NPI number is 3/7/2014 and was last updated on 4/5/2016.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000951	CONNECTICUT	No
2	101YM0800X	Counselor	Mental Health	002448	CONNECTICUT	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	008038188	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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