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COLLABORATIVE COUNSELING LLC NPI 1407291818


NPI Information

NPI: 1407291818
Provider Name: COLLABORATIVE COUNSELING, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
1495 WOLCOTT RD
WOLCOTT, CT
ZIP 06716
Phone: (203) 879-4424
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COLLABORATIVE COUNSELING, LLC is a marriage family therapist in Wolcott, CT. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. COLLABORATIVE COUNSELING, LLC NPI is 1407291818. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1495 WOLCOTT RD
WOLCOTT, CT
ZIP 06716-321
Phone: (203) 879-4424
Fax: (203) 879-4442

The provider's authorized official is Lori Kuntz .
The authorized official title is Owner and has the following contact phone number (203) 879-4424.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 4/30/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional002310CONNECTICUTNo
21041C0700XSocial WorkerClinical006562CONNECTICUTNo
3106H00000XMarriage & Family Therapist001496CONNECTICUTNo
4106H00000XMarriage & Family Therapist001113CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008024276MEDICAIDCONNECTICUT
2008040740MEDICAIDCONNECTICUT

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

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