Active NPIOrganization

Old Lyme Counseling, LLC

Community/Behavioral Health in Old Lyme, Connecticut

NPI Number1083938872
Practice location
4 Davis RD W, Suite 6, Old Lyme, CT 06371-4408
Fax
—
Last updated
September 27, 2010

Old Lyme Counseling, LLC is a healthcare organization based in Old Lyme, CT. Old Lyme Counseling, LLC practices in Old Lyme, CT. The NPI Number for Old Lyme Counseling, LLC is 1083938872. The current practice location address for Old Lyme Counseling, LLC is 4 Davis RD W, Suite 6, Old Lyme, CT 06371-4408 and can be reached out via phone at 860-617-4082.

Provider Profile Details

NPI Number
1083938872
Provider Name
Old Lyme Counseling, LLC
Provider Entity Type
Organization
Address
4 Davis RD W, Suite 6, Old Lyme, CT 06371-4408
Phone Number
860-617-4082
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mrs. Heather Bonitz Moore, MS, ATR-BC, LPC · Part Owner · 860-617-4082
Provider Enumeration Date
March 23, 2010
Last Update Date
September 27, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Davis RD W
Suite 6
Old Lyme, CT 06371-4408
Zip
06371-4408
Phone Number
860-617-4082
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
19 Beechwood Blvd
Norwich, CT 06360-1405
City
Norwich
State
CT
Zip
06360-1405
Phone Number
860-617-4082

License Information

Taxonomy
Community/Behavioral Health · 251S00000X · 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 Old Lyme Counseling, LLC?

The NPI number of Old Lyme Counseling, LLC is 1083938872. It was assigned on March 23, 2010 and is currently active in the NPPES registry.

What is the specialty of Old Lyme Counseling, LLC?

Old Lyme Counseling, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Old Lyme Counseling, LLC practice?

The practice location is 4 Davis RD W, Suite 6, Old Lyme, CT 06371-4408. The office can be reached at 860-617-4082 (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 1083938872 directly on the NPPES registry website.

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