Therapeutic Alliance Of Connecticut, LLC
Nurse Practitioner, Psych/Mental Health in Enfield, Connecticut
1467982504- Practice location
- 174 South RD Ste 125, Enfield, CT 06082-4414
- Phone
- 860-966-1004
- Fax
- 860-788-4090
- Last updated
- July 21, 2022
Therapeutic Alliance Of Connecticut, LLC is a healthcare organization based in Enfield, CT. Therapeutic Alliance Of Connecticut, LLC practices in Enfield, CT. The NPI Number for Therapeutic Alliance Of Connecticut, LLC is 1467982504 and holds a License No. 7027 (CT). The current practice location address for Therapeutic Alliance Of Connecticut, LLC is 174 South RD Ste 125, Enfield, CT 06082-4414 and can be reached out via phone at 860-966-1004 and via fax at 860-788-4090.
Provider Profile Details
- NPI Number
- 1467982504
- Provider Name
- Therapeutic Alliance Of Connecticut, LLC
- Provider Entity Type
- Organization
- Address
- 174 South RD Ste 125, Enfield, CT 06082-4414
- Phone Number
- 860-966-1004
- Fax Number
- 860-788-4090
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Mr. Julio Rene Duran, PMHNP · Owner · 860-966-1004
- Provider Enumeration Date
- June 12, 2017
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 174 South RD Ste 125
Enfield, CT 06082-4414 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-4414
- Phone Number
- 860-966-1004
- Fax Number
- 860-788-4090
Provider Business Mailing Address Details
- Address
- 174 South RD Ste 125
Enfield, CT 06082-4414 - City
- Enfield
- State
- CT
- Zip
- 06082-4414
- Phone Number
- 860-966-1004
- Fax Number
- 860-788-4090
License Information
- License Number
- 7027
- License State
- CT
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Therapeutic Alliance Of Connecticut, LLC?
The NPI number of Therapeutic Alliance Of Connecticut, LLC is 1467982504. It was assigned on June 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Therapeutic Alliance Of Connecticut, LLC?
Therapeutic Alliance Of Connecticut, LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 7027.
Where does Therapeutic Alliance Of Connecticut, LLC practice?
The practice location is 174 South RD Ste 125, Enfield, CT 06082-4414. The office can be reached at 860-966-1004 (phone) or 860-788-4090 (fax).
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 1467982504 directly on the NPPES registry website.