Active NPIIndividual providerSole proprietor

Guretha Pettway

Counselor, Professional in Trumbull, Connecticut

NPI Number1336855766
Practice location
100 Hawley Ln Unit 4044, Trumbull, CT 06611-5330
Fax
—
Last updated
January 30, 2023

Guretha Pettway is a Counselor, Professional based in Trumbull, CT. Guretha Pettway practices in Trumbull, CT. The NPI Number for Guretha Pettway is 1336855766. The current practice location address for Guretha Pettway is 100 Hawley Ln Unit 4044, Trumbull, CT 06611-5330 and can be reached out via phone at 203-917-7715.

Provider Profile Details

NPI Number
1336855766
Provider Name
Guretha Pettway
Provider Entity Type
Individual
Gender
Female
Address
100 Hawley Ln Unit 4044, Trumbull, CT 06611-5330
Phone Number
203-917-7715
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2023
Last Update Date
January 30, 2023
Certification Date
January 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Hawley Ln Unit 4044
Trumbull, CT 06611-5330
Zip
06611-5330
Phone Number
203-917-7715
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
1744 Dixwell Ave Unit 4044
Hamden, CT 06514-7702
City
Hamden
State
CT
Zip
06514-7702
Phone Number
203-917-7715

License Information

Taxonomy
Counselor, Professional · 101YP2500X · 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 Guretha Pettway?

The NPI number of Guretha Pettway is 1336855766. It was assigned on January 30, 2023 and is currently active in the NPPES registry.

What is the specialty of Guretha Pettway?

Guretha Pettway is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).

Where does Guretha Pettway practice?

The practice location is 100 Hawley Ln Unit 4044, Trumbull, CT 06611-5330. The office can be reached at 203-917-7715 (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 1336855766 directly on the NPPES registry website.

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