Kedeisha Fountain
Counselor, Professional in Stratford, Connecticut
1184897084- Practice location
- 821 Success Ave, Stratford, CT 06614-3731
- Phone
- 475-243-8875
- Fax
- —
- Last updated
- October 12, 2023
Kedeisha Fountain is a Counselor, Professional based in Stratford, CT. Kedeisha Fountain practices in Stratford, CT. The NPI Number for Kedeisha Fountain is 1184897084. The current practice location address for Kedeisha Fountain is 821 Success Ave, Stratford, CT 06614-3731 and can be reached out via phone at 475-243-8875.
Provider Profile Details
- NPI Number
- 1184897084
- Provider Name
- Kedeisha Fountain
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 821 Success Ave, Stratford, CT 06614-3731
- Phone Number
- 475-243-8875
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 11, 2008
- Last Update Date
- October 12, 2023
- Certification Date
- October 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 821 Success Ave
Stratford, CT 06614-3731 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-3731
- Phone Number
- 475-243-8875
Provider Business Mailing Address Details
- Address
- 18 Cadbury Place
Naugatuck, CT 06770 - City
- Naugatuck
- State
- CT
- Zip
- 06770
- Phone Number
- 475-243-8875
License Information
- 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 Kedeisha Fountain?
The NPI number of Kedeisha Fountain is 1184897084. It was assigned on April 11, 2008 and is currently active in the NPPES registry.
What is the specialty of Kedeisha Fountain?
Kedeisha Fountain is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does Kedeisha Fountain practice?
The practice location is 821 Success Ave, Stratford, CT 06614-3731. The office can be reached at 475-243-8875 (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 1184897084 directly on the NPPES registry website.