Theresa M Charles I
Counselor, Addiction (Substance Use Disorder) in Groton, Connecticut
1255769576- Practice location
- 542 Longhill Road, Groton, CT 06340
- Phone
- 866-448-4993
- Fax
- —
- Last updated
- October 23, 2013
Theresa Mamie Charles is a Counselor, Addiction (Substance Use Disorder) based in Groton, CT. Theresa Mamie Charles practices in Groton, CT. The NPI Number for Theresa Mamie Charles is 1255769576 and holds a License No. 060886125 (CT). The current practice location address for Theresa Mamie Charles is 542 Longhill Road, Groton, CT 06340 and can be reached out via phone at 866-448-4993.
Provider Profile Details
- NPI Number
- 1255769576
- Provider Name
- Theresa Mamie Charles
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 542 Longhill Road, Groton, CT 06340
- Phone Number
- 866-448-4993
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 23, 2013
- Last Update Date
- October 23, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 542 Longhill Road
Groton, CT 06340 - City
- Groton
- State
- Connecticut
- Zip
- 06340
- Phone Number
- 866-448-4993
Provider Business Mailing Address Details
- Address
- 542 Long Hill RD
Groton, CT 06340-4108 - City
- Groton
- State
- CT
- Zip
- 06340-4108
- Phone Number
- 860-448-4993
License Information
- License Number (1)
- 060886125
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
- License Number (2)
- 060886125
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
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 Theresa M Charles I?
The NPI number of Theresa M Charles I is 1255769576. It was assigned on October 23, 2013 and is currently active in the NPPES registry.
What is the specialty of Theresa M Charles I?
Theresa M Charles I is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 060886125.
Where does Theresa M Charles I practice?
The practice location is 542 Longhill Road, Groton, CT 06340. The office can be reached at 866-448-4993 (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 1255769576 directly on the NPPES registry website.