Active NPIIndividual provider

Tavia-Simone Bascuine

Counselor, Mental Health in West Haven, Connecticut

NPI Number1750757126
Practice location
300 Boston Post RD, West Haven, CT 06516
Fax
—
Last updated
August 16, 2022

Tavia-Simone Bascuine is a Counselor, Mental Health based in West Haven, CT. Tavia-Simone Bascuine practices in West Haven, CT. The NPI Number for Tavia-Simone Bascuine is 1750757126 and holds a License No. MSW.002363 (CT). The current practice location address for Tavia-Simone Bascuine is 300 Boston Post RD, West Haven, CT 06516 and can be reached out via phone at 203-932-7330.

Provider Profile Details

NPI Number
1750757126
Provider Name
Tavia-Simone Bascuine
Provider Entity Type
Individual
Gender
Female
Address
300 Boston Post RD, West Haven, CT 06516
Phone Number
203-932-7330
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
August 19, 2015
Last Update Date
August 16, 2022
Certification Date
August 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Boston Post RD
West Haven, CT 06516
Zip
06516
Phone Number
203-932-7330
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
115 Main Street
#143
East Berlin, CT 06023
City
East Berlin
State
CT
Zip
06023
Phone Number
203-932-7330

License Information

License Number (1)
MSW.002363
License State (1)
CT
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
58.010762
License State (2)
CT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · 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 Tavia-Simone Bascuine?

The NPI number of Tavia-Simone Bascuine is 1750757126. It was assigned on August 19, 2015 and is currently active in the NPPES registry.

What is the specialty of Tavia-Simone Bascuine?

Tavia-Simone Bascuine is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number MSW.002363.

Where does Tavia-Simone Bascuine practice?

The practice location is 300 Boston Post RD, West Haven, CT 06516. The office can be reached at 203-932-7330 (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 1750757126 directly on the NPPES registry website.

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