Eastern Services & Camp Simon LLC
Counselor, Professional in Windsor Locks, Connecticut
1538582739- Practice location
- 82 Main St, Windsor Locks, CT 06096-2325
- Phone
- 860-254-5127
- Fax
- 860-310-4235
- Last updated
- February 11, 2020
Eastern Services & Camp Simon LLC is a healthcare organization based in Windsor Locks, CT. Eastern Services & Camp Simon LLC practices in Windsor Locks, CT. The NPI Number for Eastern Services & Camp Simon LLC is 1538582739 and holds a License No. 002227 (CT). The current practice location address for Eastern Services & Camp Simon LLC is 82 Main St, Windsor Locks, CT 06096-2325 and can be reached out via phone at 860-254-5127 and via fax at 860-310-4235.
Provider Profile Details
- NPI Number
- 1538582739
- Provider Name
- Eastern Services & Camp Simon LLC
- Provider Entity Type
- Organization
- Address
- 82 Main St, Windsor Locks, CT 06096-2325
- Phone Number
- 860-254-5127
- Fax Number
- 860-310-4235
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Maly Phimvongsa · Clinical Director/Owner · 860-254-5127
- Provider Enumeration Date
- January 24, 2014
- Last Update Date
- February 11, 2020
- Certification Date
- February 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 82 Main St
Windsor Locks, CT 06096-2325 - City
- Windsor Locks
- State
- Connecticut
- Zip
- 06096-2325
- Phone Number
- 860-254-5127
- Fax Number
- 860-310-4235
Provider Business Mailing Address Details
- Address
- 115 Bridge St
Suite C
East Windsor, CT 06088-9547 - City
- East Windsor
- State
- CT
- Zip
- 06088-9547
- Phone Number
- 860-254-5127
- Fax Number
- 860-254-5254
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 002227
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X
- License Number (3)
- 001470
- License State (3)
- CT
- Taxonomy (3)
- 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 Windsor Locks, CT
View all Counselor, Professional providers in Windsor Locks →Frequently Asked Questions
What is the NPI number of Eastern Services & Camp Simon LLC?
The NPI number of Eastern Services & Camp Simon LLC is 1538582739. It was assigned on January 24, 2014 and is currently active in the NPPES registry.
What is the specialty of Eastern Services & Camp Simon LLC?
Eastern Services & Camp Simon LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 002227.
Where does Eastern Services & Camp Simon LLC practice?
The practice location is 82 Main St, Windsor Locks, CT 06096-2325. The office can be reached at 860-254-5127 (phone) or 860-310-4235 (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 1538582739 directly on the NPPES registry website.