PASTORAL COUNSELING CENTER OF WEST HARTFORD NPI 1891860300

NPI Information

NPI: 1891860300
Provider Name: PASTORAL COUNSELING CENTER OF WEST HARTFORD
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
12 S MAIN ST
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 233-0548
Get Directions

PASTORAL COUNSELING CENTER OF WEST HARTFORD is an addiction (substance use disorder) counselor in West Hartford, CT. PASTORAL COUNSELING CENTER OF WEST HARTFORD NPI is 1891860300. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12 S MAIN ST
WEST HARTFORD, CT
ZIP 06107-406
Phone: (860) 233-0548
Fax: (860) 236-0253

The provider's authorized official is Claire W Bamberg .
The authorized official title is Executive Director and has the following contact phone number (860) 233-0548.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.

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)	C0231	CONNECTICUT	Yes
2	101YP2500X	Counselor	Professional	C0231	CONNECTICUT	X
3	103TC0700X	Psychologist	Clinical	C0231	CONNECTICUT	X
4	1041C0700X	Social Worker	Clinical	C0231	CONNECTICUT	X
5	106H00000X	Marriage & Family Therapist		C0231	CONNECTICUT	X
6	163WP0808X	Registered Nurse	Psychiatric/Mental Health	C0231	CONNECTICUT	X

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	4173928	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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