Black Quin LLC
Counselor, Professional in Stratford, Connecticut
1144985250- Practice location
- 1355 Nichols Ave, Stratford, CT 06614-2627
- Phone
- 203-892-2921
- Fax
- —
- Last updated
- March 12, 2025
Black Quin LLC is a healthcare organization based in Stratford, CT. Black Quin LLC practices in Stratford, CT. The NPI Number for Black Quin LLC is 1144985250. The current practice location address for Black Quin LLC is 1355 Nichols Ave, Stratford, CT 06614-2627 and can be reached out via phone at 203-892-2921.
Provider Profile Details
- NPI Number
- 1144985250
- Provider Name
- Black Quin LLC
- Provider Entity Type
- Organization
- Address
- 1355 Nichols Ave, Stratford, CT 06614-2627
- Phone Number
- 203-892-2921
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Autumn Wright · Owner · 203-892-2921
- Provider Enumeration Date
- November 3, 2021
- Last Update Date
- March 12, 2025
- Certification Date
- March 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1355 Nichols Ave
Stratford, CT 06614-2627 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-2627
- Phone Number
- 203-892-2921
Provider Business Mailing Address Details
- Address
- 1355 Nichols Ave
Stratford, CT 06614-2627 - City
- Stratford
- State
- CT
- Zip
- 06614-2627
- Phone Number
- 203-892-2921
License Information
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X
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 Black Quin LLC?
The NPI number of Black Quin LLC is 1144985250. It was assigned on November 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Black Quin LLC?
Black Quin LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does Black Quin LLC practice?
The practice location is 1355 Nichols Ave, Stratford, CT 06614-2627. The office can be reached at 203-892-2921 (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 1144985250 directly on the NPPES registry website.