Eastern Services & Camp Simon, LLC
Counselor, Professional in East Windsor, Connecticut
1902173370- Practice location
- 115 Bridge St, Suite C, East Windsor, CT 06088-9547
- Phone
- 860-254-5127
- Fax
- 860-254-5254
- Last updated
- February 11, 2020
Eastern Services & Camp Simon, LLC is a healthcare organization based in East Windsor, CT. Eastern Services & Camp Simon, LLC practices in East Windsor, CT. The NPI Number for Eastern Services & Camp Simon, LLC is 1902173370 and holds a License No. 001470 (CT). The current practice location address for Eastern Services & Camp Simon, LLC is 115 Bridge St, Suite C, East Windsor, CT 06088-9547 and can be reached out via phone at 860-254-5127 and via fax at 860-254-5254.
Provider Profile Details
- NPI Number
- 1902173370
- Provider Name
- Eastern Services & Camp Simon, LLC
- Provider Entity Type
- Organization
- Address
- 115 Bridge St, Suite C, East Windsor, CT 06088-9547
- Phone Number
- 860-254-5127
- Fax Number
- 860-254-5254
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Maly Phimvongsa, LPC, NCC · Director · 860-254-5127
- Provider Enumeration Date
- November 29, 2011
- Last Update Date
- February 11, 2020
- Certification Date
- February 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Bridge St
Suite C
East Windsor, CT 06088-9547 - City
- East Windsor
- State
- Connecticut
- Zip
- 06088-9547
- Phone Number
- 860-254-5127
- Fax Number
- 860-254-5254
Provider Business Mailing Address Details
- Address
- 115 Bridge St
Suite C
East Windsor, CT 06088-9547 - City
- East Windsor
- State
- CT
- Zip
- 06088-9547
- Phone Number
- 860-254-5127
- Fax Number
- 860-254-5254
License Information
- License Number
- 001470
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · 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 Eastern Services & Camp Simon, LLC?
The NPI number of Eastern Services & Camp Simon, LLC is 1902173370. It was assigned on November 29, 2011 and is currently active in the NPPES registry.
What is the specialty of Eastern Services & Camp Simon, LLC?
Eastern Services & Camp Simon, LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 001470.
Where does Eastern Services & Camp Simon, LLC practice?
The practice location is 115 Bridge St, Suite C, East Windsor, CT 06088-9547. The office can be reached at 860-254-5127 (phone) or 860-254-5254 (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 1902173370 directly on the NPPES registry website.