FAIRFIELD COUNTY MENTAL WELLNESS COUNSELING LLC NPI 1265903223

NPI Information

NPI: 1265903223
Provider Name: FAIRFIELD COUNTY MENTAL WELLNESS COUNSELING, LLC

Doing Business As: FAIRFIELD COUNTY MENTAL WELLNESS COUNSELING

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3241 MAIN ST STE B
STRATFORD, CT
ZIP 06614
Phone: (203) 500-6397
Get Directions

FAIRFIELD COUNTY MENTAL WELLNESS COUNSELING, LLC is a professional counselor in Stratford, CT. FAIRFIELD COUNTY MENTAL WELLNESS COUNSELING, LLC NPI is 1265903223. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fairfield County Mental Wellness Counseling.

The provider's business location address is:

3241 MAIN ST STE B
STRATFORD, CT
ZIP 06614-850
Phone: (203) 500-6397
Fax: (203) 383-4499

The provider's authorized official is Silvia Dicovich .
The authorized official title is Owner and has the following contact phone number (203) 500-6397.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 1/11/2024.

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	101YP2500X	Counselor	Professional			Yes

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	004069985	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

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.

« Previous NPI

Next NPI »