Authentic Balance Consortium LLC
Counselor, Professional in Chaplin, Connecticut
1538347349- Practice location
- 267 Willimantic RD, Suite 5, Chaplin, CT 06235-2516
- Phone
- 860-617-2848
- Fax
- —
- Last updated
- February 4, 2008
Authentic Balance Consortium LLC is a healthcare organization based in Chaplin, CT. Authentic Balance Consortium LLC practices in Chaplin, CT. The NPI Number for Authentic Balance Consortium LLC is 1538347349 and holds a License No. 006609 (CT). The current practice location address for Authentic Balance Consortium LLC is 267 Willimantic RD, Suite 5, Chaplin, CT 06235-2516 and can be reached out via phone at 860-617-2848.
Provider Profile Details
- NPI Number
- 1538347349
- Provider Name
- Authentic Balance Consortium LLC
- Provider Entity Type
- Organization
- Address
- 267 Willimantic RD, Suite 5, Chaplin, CT 06235-2516
- Phone Number
- 860-617-2848
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Dr. Diane Tarricone, LPC · Partner · 860-617-2848
- Provider Enumeration Date
- February 4, 2008
- Last Update Date
- February 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 267 Willimantic RD
Suite 5
Chaplin, CT 06235-2516 - City
- Chaplin
- State
- Connecticut
- Zip
- 06235-2516
- Phone Number
- 860-617-2848
Provider Business Mailing Address Details
- Address
- 267 Willimantic RD
Suite 5
Chaplin, CT 06235-2516 - City
- Chaplin
- State
- CT
- Zip
- 06235-2516
- Phone Number
- 860-617-2848
License Information
- License Number (1)
- 006609
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 001484
- 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. | |||
Other Counselor, Professional providers near Chaplin, CT
View all Counselor, Professional providers in Chaplin →Frequently Asked Questions
What is the NPI number of Authentic Balance Consortium LLC?
The NPI number of Authentic Balance Consortium LLC is 1538347349. It was assigned on February 4, 2008 and is currently active in the NPPES registry.
What is the specialty of Authentic Balance Consortium LLC?
Authentic Balance Consortium LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 006609.
Where does Authentic Balance Consortium LLC practice?
The practice location is 267 Willimantic RD, Suite 5, Chaplin, CT 06235-2516. The office can be reached at 860-617-2848 (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 1538347349 directly on the NPPES registry website.