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CHANGE TALK LLC NPI 1780122713


NPI Information

NPI: 1780122713
Provider Name: CHANGE TALK LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
251 ESSEX PLAZA
ESSEX, CT
ZIP 06426
Phone: (860) 638-9169
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CHANGE TALK LLC is a counselor in Essex, CT. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CHANGE TALK LLC NPI is 1780122713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

251 ESSEX PLAZA
ESSEX, CT
ZIP 06426
Phone: (860) 638-9169
Fax: (860) 469-2938

The provider's authorized official is Adam Joseph Russo .
The authorized official title is Owner/clinician and has the following contact phone number (860) 638-9169.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 7/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2101YM0800XCounselorMental HealthNo
3101YM0800XCounselorMental Health003050CONNECTICUTNo

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
1008071044MEDICAIDCONNECTICUT

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: 11/14/2023

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.