Phetsamon Dilullo
Community/Behavioral Health in Hartford, Connecticut
1679031140- Practice location
- 25 Clermont St, Hartford, CT 06106-3904
- Phone
- 413-896-0874
- Fax
- —
- Last updated
- April 11, 2019
Phetsamon Dilullo is a healthcare organization based in Hartford, CT. Phetsamon Dilullo practices in Hartford, CT. The NPI Number for Phetsamon Dilullo is 1679031140. The current practice location address for Phetsamon Dilullo is 25 Clermont St, Hartford, CT 06106-3904 and can be reached out via phone at 413-896-0874.
Provider Profile Details
- NPI Number
- 1679031140
- Provider Name
- Phetsamon Dilullo
- Provider Entity Type
- Organization
- Address
- 25 Clermont St, Hartford, CT 06106-3904
- Phone Number
- 413-896-0874
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- Yes
- Parent Organization
- Connecticut Therapeutic Counseling LLC
- Authorized Official
- Mrs. Phetsamon Dilullo, LCSW · Licensed Clinical Social Worker · 413-896-0874
- Other Names
- Connecticut Therapeutic Counseling LLC (Doing Business As)
- Provider Enumeration Date
- March 4, 2019
- Last Update Date
- April 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Clermont St
Hartford, CT 06106-3904 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-3904
- Phone Number
- 413-896-0874
Provider Business Mailing Address Details
- Address
- 25 Clermont St
Hartford, CT 06106-3904 - City
- Hartford
- State
- CT
- Zip
- 06106-3904
- Phone Number
- 413-896-0874
License Information
- 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 Phetsamon Dilullo?
The NPI number of Phetsamon Dilullo is 1679031140. It was assigned on March 4, 2019 and is currently active in the NPPES registry.
What is the specialty of Phetsamon Dilullo?
Phetsamon Dilullo is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Phetsamon Dilullo practice?
The practice location is 25 Clermont St, Hartford, CT 06106-3904. The office can be reached at 413-896-0874 (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 1679031140 directly on the NPPES registry website.