Active NPIIndividual provider

Ms. Elizabeth R Damon, LPC, R-DMT

Counselor, Professional in Stratford, Connecticut

NPI Number1083016703
Practice location
4021 Main St, 1F, Stratford, CT 06614-3568
Fax
—
Last updated
September 24, 2014

Elizabeth Rose Damon is a Counselor, Professional based in Stratford, CT. Elizabeth Rose Damon practices in Stratford, CT and has the professional credentials of LPC, R-DMT. The NPI Number for Elizabeth Rose Damon is 1083016703 and holds a License No. 002611 (CT). The current practice location address for Elizabeth Rose Damon is 4021 Main St, 1F, Stratford, CT 06614-3568 and can be reached out via phone at 207-415-3842.

Provider Profile Details

NPI Number
1083016703
Provider Name
Elizabeth Rose Damon
Credential
LPC, R-DMT
Provider Entity Type
Individual
Gender
Female
Address
4021 Main St, 1F, Stratford, CT 06614-3568
Phone Number
207-415-3842
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
September 24, 2014
Last Update Date
September 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
4021 Main St
1F
Stratford, CT 06614-3568
Zip
06614-3568
Phone Number
207-415-3842
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
156 Grasmere Ave
Apt 1
Fairfield, CT 06824-6153
City
Fairfield
State
CT
Zip
06824-6153
Phone Number
207-415-3842

License Information

License Number
002611
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · 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. Elizabeth R Damon, LPC, R-DMT?

The NPI number of Ms. Elizabeth R Damon, LPC, R-DMT is 1083016703. It was assigned on September 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Elizabeth R Damon, LPC, R-DMT?

Ms. Elizabeth R Damon, LPC, R-DMT is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 002611.

Where does Ms. Elizabeth R Damon, LPC, R-DMT practice?

The practice location is 4021 Main St, 1F, Stratford, CT 06614-3568. The office can be reached at 207-415-3842 (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 1083016703 directly on the NPPES registry website.

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