Active NPIOrganization

Breakwater Counseling Center, LLC

Counselor, Professional in Stratford, Connecticut

NPI Number1821592072
Practice location
1110 Broadbridge Ave, Stratford, CT 06615-5801
Fax
—
Last updated
July 24, 2019

Breakwater Counseling Center, LLC is a healthcare organization based in Stratford, CT. Breakwater Counseling Center, LLC practices in Stratford, CT. The NPI Number for Breakwater Counseling Center, LLC is 1821592072. The current practice location address for Breakwater Counseling Center, LLC is 1110 Broadbridge Ave, Stratford, CT 06615-5801 and can be reached out via phone at 203-693-1169.

Provider Profile Details

NPI Number
1821592072
Provider Name
Breakwater Counseling Center, LLC
Provider Entity Type
Organization
Address
1110 Broadbridge Ave, Stratford, CT 06615-5801
Phone Number
203-693-1169
Primary Taxonomy
Counselor, Professional · 101YP2500X
Organization Subpart
No
Authorized Official
Joanne Martin, LPC · Owner/Counselor · 203-693-1169
Provider Enumeration Date
March 22, 2018
Last Update Date
July 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1110 Broadbridge Ave
Stratford, CT 06615-5801
Zip
06615-5801
Phone Number
203-693-1169
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
1110 Broadbridge Ave
Stratford, CT 06615-5801
City
Stratford
State
CT
Zip
06615-5801
Phone Number
203-693-1169

License Information

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 Breakwater Counseling Center, LLC?

The NPI number of Breakwater Counseling Center, LLC is 1821592072. It was assigned on March 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Breakwater Counseling Center, LLC?

Breakwater Counseling Center, LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).

Where does Breakwater Counseling Center, LLC practice?

The practice location is 1110 Broadbridge Ave, Stratford, CT 06615-5801. The office can be reached at 203-693-1169 (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 1821592072 directly on the NPPES registry website.

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