Community Renewal Team
Counselor, Pastoral in Hartford, Connecticut
1124397518- Practice location
- 1921 Park St, Hartford, CT 06106-2118
- Phone
- 860-951-8770
- Fax
- 860-233-2796
- Last updated
- December 14, 2011
Community Renewal Team is a healthcare organization based in Hartford, CT. Community Renewal Team practices in Hartford, CT. The NPI Number for Community Renewal Team is 1124397518 and holds a License No. 007737 (CT). The current practice location address for Community Renewal Team is 1921 Park St, Hartford, CT 06106-2118 and can be reached out via phone at 860-951-8770 and via fax at 860-233-2796.
Provider Profile Details
- NPI Number
- 1124397518
- Provider Name
- Community Renewal Team
- Provider Entity Type
- Organization
- Address
- 1921 Park St, Hartford, CT 06106-2118
- Phone Number
- 860-951-8770
- Fax Number
- 860-233-2796
- Primary Taxonomy
- Counselor, Pastoral · 101YP1600X
- Organization Subpart
- No
- Authorized Official
- Larry Alonzo Watts, LCSW · Clinician · 860-951-8770
- Provider Enumeration Date
- December 14, 2011
- Last Update Date
- December 14, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1921 Park St
Hartford, CT 06106-2118 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-2118
- Phone Number
- 860-951-8770
- Fax Number
- 860-233-2796
Provider Business Mailing Address Details
- Address
- 1921 Park St
Hartford, CT 06106-2118 - City
- Hartford
- State
- CT
- Zip
- 06106-2118
- Phone Number
- 860-951-8770
- Fax Number
- 860-233-2796
License Information
- License Number
- 007737
- License State
- CT
- Taxonomy
- Counselor, Pastoral · 101YP1600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Community Renewal Team?
The NPI number of Community Renewal Team is 1124397518. It was assigned on December 14, 2011 and is currently active in the NPPES registry.
What is the specialty of Community Renewal Team?
Community Renewal Team is registered under the primary taxonomy Counselor, Pastoral (code 101YP1600X), licensed in CT under license number 007737.
Where does Community Renewal Team practice?
The practice location is 1921 Park St, Hartford, CT 06106-2118. The office can be reached at 860-951-8770 (phone) or 860-233-2796 (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 1124397518 directly on the NPPES registry website.