CONNECTICUT COUNSELING CENTERS INC NPI 1447741889

NPI Information

NPI: 1447741889
Provider Name: CONNECTICUT COUNSELING CENTERS INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
15 COMMERCE RD LOWR 1
STAMFORD, CT
ZIP 06902
Phone: (203) 653-3808
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CONNECTICUT COUNSELING CENTERS INC is a primary care clinic center in Stamford, CT. CONNECTICUT COUNSELING CENTERS INC NPI is 1447741889. The provider is registered as an organization entity type.

The provider's business location address is:

15 COMMERCE RD LOWR 1
STAMFORD, CT
ZIP 06902-553
Phone: (203) 653-3808
Fax: (203) 653-3809

The provider's authorized official is Jason Bradway .
The authorized official title is Director Of Information Systems and has the following contact phone number (203) 568-7466.

The enumeration date for this NPI number is 5/22/2018 and was last updated on 5/22/2018.

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	261QP2300X	Clinic/Center	Primary Care	0936	CONNECTICUT	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	0936	OTHER	CONNECTICUT	CONNECTICUT DEPARTMENT OF PUBLIC HEALTH

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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