Active NPIIndividual providerSole proprietor

Berthania Boursiquot, LPCA

Counselor, Mental Health in Milford, Connecticut

NPI Number1003673278
Practice location
949 Bridgeport Ave, Milford, CT 06460-3142
Fax
203-301-2397
Last updated
March 4, 2024

Berthania Boursiquot is a Counselor, Mental Health based in Milford, CT. Berthania Boursiquot practices in Milford, CT and has the professional credentials of LPCA. The NPI Number for Berthania Boursiquot is 1003673278 and holds a License No. 005716 (CT). The current practice location address for Berthania Boursiquot is 949 Bridgeport Ave, Milford, CT 06460-3142 and can be reached out via phone at 203-878-6365 and via fax at 203-301-2397.

Provider Profile Details

NPI Number
1003673278
Provider Name
Berthania Boursiquot
Credential
LPCA
Provider Entity Type
Individual
Gender
Female
Address
949 Bridgeport Ave, Milford, CT 06460-3142
Phone Number
203-878-6365
Fax Number
203-301-2397
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 4, 2024
Last Update Date
March 4, 2024
Certification Date
March 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
949 Bridgeport Ave
Milford, CT 06460-3142
Zip
06460-3142
Phone Number
203-878-6365
Fax Number
203-301-2397
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
949 Bridgeport Ave
Milford, CT 06460-3142
City
Milford
State
CT
Zip
06460-3142
Phone Number
203-878-6365
Fax Number
203-301-2397

License Information

License Number
005716
License State
CT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Berthania Boursiquot, LPCA?

The NPI number of Berthania Boursiquot, LPCA is 1003673278. It was assigned on March 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Berthania Boursiquot, LPCA?

Berthania Boursiquot, LPCA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 005716.

Where does Berthania Boursiquot, LPCA practice?

The practice location is 949 Bridgeport Ave, Milford, CT 06460-3142. The office can be reached at 203-878-6365 (phone) or 203-301-2397 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003673278 directly on the NPPES registry website.

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