Active NPIOrganization

Revived Connections LLC

Counselor, Mental Health in Colchester, Connecticut

NPI Number1306698477
Practice location
19 Mountain RD, Colchester, CT 06415-2711
Fax
—
Last updated
April 3, 2024

Revived Connections LLC is a healthcare organization based in Colchester, CT. Revived Connections LLC practices in Colchester, CT. The NPI Number for Revived Connections LLC is 1306698477. The current practice location address for Revived Connections LLC is 19 Mountain RD, Colchester, CT 06415-2711 and can be reached out via phone at 860-794-5710.

Provider Profile Details

NPI Number
1306698477
Provider Name
Revived Connections LLC
Provider Entity Type
Organization
Address
19 Mountain RD, Colchester, CT 06415-2711
Phone Number
860-794-5710
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Organization Subpart
No
Authorized Official
Jennifer Schaefer, LMFT · Owner · 860-393-0887
Provider Enumeration Date
April 3, 2024
Last Update Date
April 3, 2024
Certification Date
April 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Mountain RD
Colchester, CT 06415-2711
Zip
06415-2711
Phone Number
860-794-5710
Colchester, CT 06415Get directions →

Provider Business Mailing Address Details

Address
19 Mountain RD
Colchester, CT 06415-2711
City
Colchester
State
CT
Zip
06415-2711
Phone Number
860-794-5710

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Revived Connections LLC?

The NPI number of Revived Connections LLC is 1306698477. It was assigned on April 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Revived Connections LLC?

Revived Connections LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Revived Connections LLC practice?

The practice location is 19 Mountain RD, Colchester, CT 06415-2711. The office can be reached at 860-794-5710 (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 1306698477 directly on the NPPES registry website.

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