Dickerson Enterprise LLC
Community/Behavioral Health in Manchester, Connecticut
1669993663- Practice location
- 872 Vernon St, Manchester, CT 06042-2415
- Phone
- 860-416-3500
- Fax
- —
- Last updated
- September 2, 2025
Dickerson Enterprise LLC is a healthcare organization based in Manchester, CT. Dickerson Enterprise LLC practices in Manchester, CT. The NPI Number for Dickerson Enterprise LLC is 1669993663 and holds a License No. 3221 (CT). The current practice location address for Dickerson Enterprise LLC is 872 Vernon St, Manchester, CT 06042-2415 and can be reached out via phone at 860-416-3500.
Provider Profile Details
- NPI Number
- 1669993663
- Provider Name
- Dickerson Enterprise LLC
- Provider Entity Type
- Organization
- Address
- 872 Vernon St, Manchester, CT 06042-2415
- Phone Number
- 860-416-3500
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Joseph Lee Dickerson · Owner · 860-416-3500
- Other Names
- Dickerson Counseling And Therapy Center (Doing Business As)
- Provider Enumeration Date
- June 29, 2017
- Last Update Date
- September 2, 2025
- Certification Date
- June 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 872 Vernon St
Manchester, CT 06042-2415 - City
- Manchester
- State
- Connecticut
- Zip
- 06042-2415
- Phone Number
- 860-416-3500
Provider Business Mailing Address Details
- Address
- 872 Vernon St
Manchester, CT 06042-2415 - City
- Manchester
- State
- CT
- Zip
- 06042-2415
- Phone Number
- 860-416-3500
License Information
- License Number
- 3221
- License State
- CT
- Taxonomy
- Community/Behavioral Health · 251S00000X · 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 Dickerson Enterprise LLC?
The NPI number of Dickerson Enterprise LLC is 1669993663. It was assigned on June 29, 2017 and is currently active in the NPPES registry.
What is the specialty of Dickerson Enterprise LLC?
Dickerson Enterprise LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in CT under license number 3221.
Where does Dickerson Enterprise LLC practice?
The practice location is 872 Vernon St, Manchester, CT 06042-2415. The office can be reached at 860-416-3500 (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 1669993663 directly on the NPPES registry website.