Mrs. Madeline Mantilla, MS
Counselor, Professional in Stamford, Connecticut
1184004335- Practice location
- 401 Shippan Ave, Stamford, CT 06902-6075
- Phone
- 203-517-3375
- Fax
- 203-353-1524
- Last updated
- December 3, 2019
Madeline Mantilla is a Counselor, Professional based in Stamford, CT. Madeline Mantilla practices in Stamford, CT and has the professional credentials of MS. The NPI Number for Madeline Mantilla is 1184004335 and holds a License No. 003667 (CT). The current practice location address for Madeline Mantilla is 401 Shippan Ave, Stamford, CT 06902-6075 and can be reached out via phone at 203-517-3375 and via fax at 203-353-1524.
Provider Profile Details
- NPI Number
- 1184004335
- Provider Name
- Madeline Mantilla
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 401 Shippan Ave, Stamford, CT 06902-6075
- Phone Number
- 203-517-3375
- Fax Number
- 203-353-1524
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2015
- Last Update Date
- December 3, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 401 Shippan Ave
Stamford, CT 06902-6075 - City
- Stamford
- State
- Connecticut
- Zip
- 06902-6075
- Phone Number
- 203-517-3375
- Fax Number
- 203-353-1524
Provider Business Mailing Address Details
- Address
- 180 Fairfield Ave
Bridgeport, CT 06604-4252 - City
- Bridgeport
- State
- CT
- Zip
- 06604-4252
- Phone Number
- 203-394-6529
- Fax Number
- 203-384-8835
License Information
- License Number
- 003667
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · 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 Mrs. Madeline Mantilla, MS?
The NPI number of Mrs. Madeline Mantilla, MS is 1184004335. It was assigned on June 3, 2015 and is currently active in the NPPES registry.
What is the specialty of Mrs. Madeline Mantilla, MS?
Mrs. Madeline Mantilla, MS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 003667.
Where does Mrs. Madeline Mantilla, MS practice?
The practice location is 401 Shippan Ave, Stamford, CT 06902-6075. The office can be reached at 203-517-3375 (phone) or 203-353-1524 (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 1184004335 directly on the NPPES registry website.