Just Breathe Connecticut LLC
Social Worker, Clinical in Ellington, Connecticut
1821420977- Practice location
- 420 Somers RD, Ellington, CT 06029-2629
- Phone
- 860-255-4475
- Fax
- —
- Last updated
- June 1, 2023
Just Breathe Connecticut LLC is a healthcare organization based in Ellington, CT. Just Breathe Connecticut LLC practices in Ellington, CT. The NPI Number for Just Breathe Connecticut LLC is 1821420977 and holds a License No. 002689 (CT). The current practice location address for Just Breathe Connecticut LLC is 420 Somers RD, Ellington, CT 06029-2629 and can be reached out via phone at 860-255-4475.
Provider Profile Details
- NPI Number
- 1821420977
- Provider Name
- Just Breathe Connecticut LLC
- Provider Entity Type
- Organization
- Address
- 420 Somers RD, Ellington, CT 06029-2629
- Phone Number
- 860-255-4475
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Kerry Lynn Tuttle · Owner · 860-255-4475
- Provider Enumeration Date
- July 31, 2013
- Last Update Date
- June 1, 2023
- Certification Date
- June 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Somers RD
Ellington, CT 06029-2629 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-2629
- Phone Number
- 860-255-4475
Provider Business Mailing Address Details
- Address
- 420 Somers RD
Ellington, CT 06029-2629 - City
- Ellington
- State
- CT
- Zip
- 06029-2629
- Phone Number
- 860-255-4475
License Information
- License Number (1)
- 002689
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Professional · 101YP2500X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 005794
- License State (3)
- CT
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · 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 Just Breathe Connecticut LLC?
The NPI number of Just Breathe Connecticut LLC is 1821420977. It was assigned on July 31, 2013 and is currently active in the NPPES registry.
What is the specialty of Just Breathe Connecticut LLC?
Just Breathe Connecticut LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 002689.
Where does Just Breathe Connecticut LLC practice?
The practice location is 420 Somers RD, Ellington, CT 06029-2629. The office can be reached at 860-255-4475 (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 1821420977 directly on the NPPES registry website.