Active NPIIndividual providerSole proprietor

Mr. Corydon A Awwa, LMFT

Marriage & Family Therapist in Groton, Connecticut

NPI Number1588440432
Practice location
616 Gold Star Highway, Groton, CT 06340
Fax
860-437-6921
Last updated
September 6, 2023

Corydon Ali Awwa is a Marriage & Family Therapist based in Groton, CT. Corydon Ali Awwa practices in Groton, CT and has the professional credentials of LMFT. The NPI Number for Corydon Ali Awwa is 1588440432 and holds a License No. 003189 (CT). The current practice location address for Corydon Ali Awwa is 616 Gold Star Highway, Groton, CT 06340 and can be reached out via phone at 860-437-6914 and via fax at 860-437-6921.

Provider Profile Details

NPI Number
1588440432
Provider Name
Corydon Ali Awwa
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
616 Gold Star Highway, Groton, CT 06340
Phone Number
860-437-6914
Fax Number
860-437-6921
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2023
Last Update Date
September 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
616 Gold Star Highway
Groton, CT 06340
City
Groton
Zip
06340
Phone Number
860-437-6914
Fax Number
860-437-6921
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
22 Case Street
Norwich, CT 06360
City
Norwich
State
CT
Zip
06360
Phone Number
860-437-6914
Fax Number
860-437-6921

License Information

License Number
003189
License State
CT
Taxonomy
Marriage & Family Therapist · 106H00000X · 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 Mr. Corydon A Awwa, LMFT?

The NPI number of Mr. Corydon A Awwa, LMFT is 1588440432. It was assigned on September 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Corydon A Awwa, LMFT?

Mr. Corydon A Awwa, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 003189.

Where does Mr. Corydon A Awwa, LMFT practice?

The practice location is 616 Gold Star Highway, Groton, CT 06340. The office can be reached at 860-437-6914 (phone) or 860-437-6921 (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 1588440432 directly on the NPPES registry website.

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