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DICKERSON ENTERPRISE LLC NPI 1831534213


NPI Information

NPI: 1831534213
Provider Name: DICKERSON ENTERPRISE LLC

Doing Business As: DICKERSON COUNSELING & THERAPY CENTER

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
872 VERNON ST
MANCHESTER, CT
ZIP 06042
Phone: (860) 416-3500
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DICKERSON ENTERPRISE LLC is a professional counselor in Manchester, CT. DICKERSON ENTERPRISE LLC NPI is 1831534213. The provider is registered as an organization entity type.
The provider Is Doing Business As Dickerson Counseling & Therapy Center.

The provider's business location address is:

872 VERNON ST
MANCHESTER, CT
ZIP 06042-415
Phone: (860) 416-3500

The provider's authorized official is Joseph Lee Dickerson .
The authorized official title is Ceo and has the following contact phone number (860) 416-3500.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 7/14/2017.


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
1251S00000XCommunity/Behavioral HealthNo
2101YP2500XCounselorProfessional3221CONNECTICUTYes

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

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