Reva Mingo, LPC, LADC
Counselor, Professional in Wethersfield, Connecticut
1528659570- Practice location
- 61 Arrow RD Ste 103, Wethersfield, CT 06109-1301
- Phone
- 959-245-4516
- Fax
- —
- Last updated
- May 18, 2022
Reva Mingo is a Counselor, Professional based in Wethersfield, CT. Reva Mingo practices in Wethersfield, CT and has the professional credentials of LPC, LADC. The NPI Number for Reva Mingo is 1528659570 and holds a License No. 5554 (CT). The current practice location address for Reva Mingo is 61 Arrow RD Ste 103, Wethersfield, CT 06109-1301 and can be reached out via phone at 959-245-4516.
Provider Profile Details
- NPI Number
- 1528659570
- Provider Name
- Reva Mingo
- Credential
- LPC, LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 61 Arrow RD Ste 103, Wethersfield, CT 06109-1301
- Phone Number
- 959-245-4516
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2021
- Last Update Date
- May 18, 2022
- Certification Date
- May 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Arrow RD Ste 103
Wethersfield, CT 06109-1301 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-1301
- Phone Number
- 959-245-4516
Provider Business Mailing Address Details
- Address
- 61 Arrow RD Ste 103
Wethersfield, CT 06109-1301 - City
- Wethersfield
- State
- CT
- Zip
- 06109-1301
- Phone Number
- 959-245-4516
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 5554
- License State (2)
- CT
- Taxonomy (2)
- 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 Reva Mingo, LPC, LADC?
The NPI number of Reva Mingo, LPC, LADC is 1528659570. It was assigned on February 2, 2021 and is currently active in the NPPES registry.
What is the specialty of Reva Mingo, LPC, LADC?
Reva Mingo, LPC, LADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 5554.
Where does Reva Mingo, LPC, LADC practice?
The practice location is 61 Arrow RD Ste 103, Wethersfield, CT 06109-1301. The office can be reached at 959-245-4516 (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 1528659570 directly on the NPPES registry website.