FAIRFIELD COUNTY CHILD AND ADOLESCENT THERAPY LLC NPI 1558762807

NPI Information

NPI: 1558762807
Provider Name: FAIRFIELD COUNTY CHILD AND ADOLESCENT THERAPY, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
34 SHERMAN CT
FAIRFIELD, CT
ZIP 06824
Phone: (203) 260-1918
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FAIRFIELD COUNTY CHILD AND ADOLESCENT THERAPY, LLC is a professional counselor in Fairfield, CT. FAIRFIELD COUNTY CHILD AND ADOLESCENT THERAPY, LLC NPI is 1558762807. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34 SHERMAN CT
FAIRFIELD, CT
ZIP 06824-826
Phone: (203) 260-1918

The provider's authorized official is Kristen Marie Peck .
The authorized official title is Lpc Therapist and has the following contact phone number (203) 260-1918.

The enumeration date for this NPI number is 9/5/2014 and was last updated on 9/6/2014.

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	2603	CONNECTICUT	Yes

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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