REVIVED CONNECTIONS LLC NPI 1306698477

NPI Information

  • NPI: 1306698477
  • Provider Name: REVIVED CONNECTIONS LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 19 MOUNTAIN RD
    COLCHESTER, CT
    ZIP 06415
  • Phone: (860) 794-5710

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NPI Details

REVIVED CONNECTIONS LLC is a mental health counselor in Colchester, CT. REVIVED CONNECTIONS LLC NPI is 1306698477. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19 MOUNTAIN RD
COLCHESTER, CT
ZIP 06415-711
Phone: (860) 794-5710

The provider's authorized official is Jennifer Schaefer .
The authorized official title is Owner and has the following contact phone number (860) 393-0887.

The enumeration date for this NPI number is 4/3/2024 and was last updated on 4/3/2024.

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
1101YM0800XCounselorMental HealthYes

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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