Active NPIIndividual provider

Walter Mabe, LADC

Counselor, Addiction (Substance Use Disorder) in New Haven, Connecticut

NPI Number1629729553
Practice location
54 E Ramsdell St, New Haven, CT 06515-1140
Fax
203-781-4624
Last updated
February 14, 2022

Walter Mabe is a Counselor, Addiction (Substance Use Disorder) based in New Haven, CT. Walter Mabe practices in New Haven, CT and has the professional credentials of LADC. The NPI Number for Walter Mabe is 1629729553 and holds a License No. 1441 (CT). The current practice location address for Walter Mabe is 54 E Ramsdell St, New Haven, CT 06515-1140 and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Provider Profile Details

NPI Number
1629729553
Provider Name
Walter Mabe
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
54 E Ramsdell St, New Haven, CT 06515-1140
Phone Number
203-781-4600
Fax Number
203-781-4624
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2022
Last Update Date
February 14, 2022
Certification Date
February 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 E Ramsdell St
New Haven, CT 06515-1140
Zip
06515-1140
Phone Number
203-781-4600
Fax Number
203-781-4624
New Haven, CT 06515Get directions →

Provider Business Mailing Address Details

Address
1 Long Wharf Dr Ste 321
New Haven, CT 06511-5946
City
New Haven
State
CT
Zip
06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624

License Information

License Number
1441
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Walter Mabe, LADC?

The NPI number of Walter Mabe, LADC is 1629729553. It was assigned on January 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Walter Mabe, LADC?

Walter Mabe, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 1441.

Where does Walter Mabe, LADC practice?

The practice location is 54 E Ramsdell St, New Haven, CT 06515-1140. The office can be reached at 203-781-4600 (phone) or 203-781-4624 (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 1629729553 directly on the NPPES registry website.

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