Active NPIIndividual provider

Ms. Ethel Bethea, LADC

Counselor, Addiction (Substance Use Disorder) in New Haven, Connecticut

NPI Number1033402045
Practice location
121 Rosette St, New Haven, CT 06519-2427
Fax
—
Last updated
May 24, 2011

Ethel Bethea is a Counselor, Addiction (Substance Use Disorder) based in New Haven, CT. Ethel Bethea practices in New Haven, CT and has the professional credentials of LADC. The NPI Number for Ethel Bethea is 1033402045 and holds a License No. 000836 (CT). The current practice location address for Ethel Bethea is 121 Rosette St, New Haven, CT 06519-2427 and can be reached out via phone at 203-214-7584.

Provider Profile Details

NPI Number
1033402045
Provider Name
Ethel Bethea
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
121 Rosette St, New Haven, CT 06519-2427
Phone Number
203-214-7584
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2011
Last Update Date
May 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Rosette St
New Haven, CT 06519-2427
Zip
06519-2427
Phone Number
203-214-7584
New Haven, CT 06519Get directions →

Provider Business Mailing Address Details

Address
121 Rosette St
New Haven, CT 06519-2427
City
New Haven
State
CT
Zip
06519-2427
Phone Number
203-214-7584

License Information

License Number
000836
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Ms. Ethel Bethea, LADC?

The NPI number of Ms. Ethel Bethea, LADC is 1033402045. It was assigned on May 24, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Ethel Bethea, LADC?

Ms. Ethel Bethea, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000836.

Where does Ms. Ethel Bethea, LADC practice?

The practice location is 121 Rosette St, New Haven, CT 06519-2427. The office can be reached at 203-214-7584 (phone).

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 1033402045 directly on the NPPES registry website.

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