COLLABORATIVE CHANGE COUNSELING AND WELLNESS LLC NPI 1831630235

NPI Information

NPI: 1831630235
Provider Name: COLLABORATIVE CHANGE COUNSELING AND WELLNESS, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
375 MATHER ST
HAMDEN, CT
ZIP 06514
Phone: (203) 745-0733
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COLLABORATIVE CHANGE COUNSELING AND WELLNESS, LLC is a professional counselor in Hamden, CT. COLLABORATIVE CHANGE COUNSELING AND WELLNESS, LLC NPI is 1831630235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

375 MATHER ST
HAMDEN, CT
ZIP 06514-101
Phone: (203) 745-0733

The provider's authorized official is Jennifer A Y Johnston .
The authorized official title is Sole Proprietor and has the following contact phone number (617) 699-3101.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 3/8/2019.

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	101YM0800X	Counselor	Mental Health	7570	MASSACHUSETTS	No
2	101YP2500X	Counselor	Professional	2205	CONNECTICUT	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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