MARY KINSELLA-SHAW LLC NPI 1013554518

NPI Information

  • NPI: 1013554518
  • Provider Name: MARY KINSELLA-SHAW LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 31 WARRENVILLE RD
    MANSFIELD CENTER, CT
    ZIP 06250
  • Phone: (860) 450-1173

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NPI Details

MARY KINSELLA-SHAW LLC is a professional counselor in Mansfield Center, CT. MARY KINSELLA-SHAW LLC NPI is 1013554518. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31 WARRENVILLE RD
MANSFIELD CENTER, CT
ZIP 06250-260
Phone: (860) 450-1173

The provider's authorized official is Bonnilyn Telesca .
The authorized official title is Biller and has the following contact phone number (203) 668-1613.

The enumeration date for this NPI number is 12/3/2019 and was last updated on 12/3/2019.

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
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

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