Audra Van Tassell
Counselor, Professional in East Haven, Connecticut
1285204602- Practice location
- 64 Thompson St # A-103104, East Haven, CT 06513-5707
- Phone
- 203-691-1685
- Fax
- —
- Last updated
- June 28, 2021
Audra Van Tassell is a Counselor, Professional based in East Haven, CT. Audra Van Tassell practices in East Haven, CT. The NPI Number for Audra Van Tassell is 1285204602 and holds a License No. 4935 (CT). The current practice location address for Audra Van Tassell is 64 Thompson St # A-103104, East Haven, CT 06513-5707 and can be reached out via phone at 203-691-1685.
Provider Profile Details
- NPI Number
- 1285204602
- Provider Name
- Audra Van Tassell
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 64 Thompson St # A-103104, East Haven, CT 06513-5707
- Phone Number
- 203-691-1685
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 28, 2021
- Last Update Date
- June 28, 2021
- Certification Date
- June 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Thompson St # A-103104
East Haven, CT 06513-5707 - City
- East Haven
- State
- Connecticut
- Zip
- 06513-5707
- Phone Number
- 203-691-1685
Provider Business Mailing Address Details
- Address
- 64 Thompson St # A-103104
East Haven, CT 06513-5707 - City
- East Haven
- State
- CT
- Zip
- 06513-5707
- Phone Number
- 203-691-1685
License Information
- License Number
- 4935
- 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 Audra Van Tassell?
The NPI number of Audra Van Tassell is 1285204602. It was assigned on June 28, 2021 and is currently active in the NPPES registry.
What is the specialty of Audra Van Tassell?
Audra Van Tassell is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 4935.
Where does Audra Van Tassell practice?
The practice location is 64 Thompson St # A-103104, East Haven, CT 06513-5707. The office can be reached at 203-691-1685 (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 1285204602 directly on the NPPES registry website.