BONDAGE BREAKERS COUNSELING LLC NPI 1669934337

NPI Information

NPI: 1669934337
Provider Name: BONDAGE BREAKERS COUNSELING, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
79 TRUMBULL ST UNIT C9
NEW HAVEN, CT
ZIP 06511
Phone: (203) 314-9551
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BONDAGE BREAKERS COUNSELING, LLC is a professional counselor in New Haven, CT. BONDAGE BREAKERS COUNSELING, LLC NPI is 1669934337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

79 TRUMBULL ST UNIT C9
NEW HAVEN, CT
ZIP 06511-708
Phone: (203) 314-9551

The provider's authorized official is Bernic E V. Malachi .
The authorized official title is Owner/counselor and has the following contact phone number (203) 314-9551.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 4/2/2019.

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			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

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