Active NPIIndividual providerSole proprietor

Heather J Bonitz-Moore, ATR-BC, LPC, IMH-E

Counselor, Professional in Bozrah, Connecticut

NPI Number1821165788
Practice location
46 Lebanon RD, Bozrah, CT 06334-1116
Fax
860-617-4082
Last updated
March 17, 2018

Heather Jo Bonitz-Moore is a Counselor, Professional based in Bozrah, CT. Heather Jo Bonitz-Moore practices in Bozrah, CT and has the professional credentials of ATR-BC, LPC, IMH-E. The NPI Number for Heather Jo Bonitz-Moore is 1821165788 and holds a License No. 001445 (CT). The current practice location address for Heather Jo Bonitz-Moore is 46 Lebanon RD, Bozrah, CT 06334-1116 and can be reached out via phone at 860-617-4082 and via fax at 860-617-4082.

Provider Profile Details

NPI Number
1821165788
Provider Name
Heather Jo Bonitz-Moore
Credential
ATR-BC, LPC, IMH-E
Provider Entity Type
Individual
Gender
Female
Address
46 Lebanon RD, Bozrah, CT 06334-1116
Phone Number
860-617-4082
Fax Number
860-617-4082
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
November 29, 2006
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Lebanon RD
Bozrah, CT 06334-1116
City
Bozrah
Zip
06334-1116
Phone Number
860-617-4082
Fax Number
860-617-4082
Bozrah, CT 06334Get directions →

Provider Business Mailing Address Details

Address
195 Fowler RD
Lebanon, CT 06249-2503
City
Lebanon
State
CT
Zip
06249-2503
Phone Number
860-617-4082

License Information

License Number
001445
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · 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 Heather J Bonitz-Moore, ATR-BC, LPC, IMH-E?

The NPI number of Heather J Bonitz-Moore, ATR-BC, LPC, IMH-E is 1821165788. It was assigned on November 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Heather J Bonitz-Moore, ATR-BC, LPC, IMH-E?

Heather J Bonitz-Moore, ATR-BC, LPC, IMH-E is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 001445.

Where does Heather J Bonitz-Moore, ATR-BC, LPC, IMH-E practice?

The practice location is 46 Lebanon RD, Bozrah, CT 06334-1116. The office can be reached at 860-617-4082 (phone) or 860-617-4082 (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 1821165788 directly on the NPPES registry website.

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