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INTEGRATED COUNSELING SOLUTIONS LLC NPI 1639685456


NPI Information

NPI: 1639685456
Provider Name: INTEGRATED COUNSELING SOLUTIONS, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
363 MAIN ST STE 512
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 373-8698
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INTEGRATED COUNSELING SOLUTIONS, LLC is a professional counselor in Middletown, CT. INTEGRATED COUNSELING SOLUTIONS, LLC NPI is 1639685456. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

363 MAIN ST STE 512
MIDDLETOWN, CT
ZIP 06457-359
Phone: (860) 373-8698

The provider's authorized official is Charlene Denise Keeler .
The authorized official title is Partner and has the following contact phone number (860) 373-8698.

The enumeration date for this NPI number is 12/15/2017 and was last updated on 6/16/2018.


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
1101YP2500XCounselorProfessional002445CONNECTICUTYes

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
11134555469OTHEROPTIMUM
21134555469MEDICAIDCONNECTICUT
31134555469OTHERAETNA
41134555469OTHERHUSKY A
51134555469OTHERANTHEM BLUE CROSS BLUE SHIELD
61134555469OTHERCONNECTICARE

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: 5/5/2024

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