Emotional Revival LLC
Social Worker, Clinical in Ellington, Connecticut
1972211563- Practice location
- 130 Hoffman RD, Ellington, CT 06029-2421
- Phone
- 860-593-6310
- Fax
- —
- Last updated
- November 11, 2022
Emotional Revival LLC is a healthcare organization based in Ellington, CT. Emotional Revival LLC practices in Ellington, CT. The NPI Number for Emotional Revival LLC is 1972211563. The current practice location address for Emotional Revival LLC is 130 Hoffman RD, Ellington, CT 06029-2421 and can be reached out via phone at 860-593-6310.
Provider Profile Details
- NPI Number
- 1972211563
- Provider Name
- Emotional Revival LLC
- Provider Entity Type
- Organization
- Address
- 130 Hoffman RD, Ellington, CT 06029-2421
- Phone Number
- 860-593-6310
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Mrs. Rossana Silva Spriggs, LCSW · Clinical Social Worker · 860-593-6310
- Provider Enumeration Date
- November 11, 2022
- Last Update Date
- November 11, 2022
- Certification Date
- November 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Hoffman RD
Ellington, CT 06029-2421 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-2421
- Phone Number
- 860-593-6310
Provider Business Mailing Address Details
- Address
- 130 Hoffman RD
Ellington, CT 06029-2421 - City
- Ellington
- State
- CT
- Zip
- 06029-2421
- Phone Number
- 860-593-6310
License Information
- Taxonomy
- 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 Emotional Revival LLC?
The NPI number of Emotional Revival LLC is 1972211563. It was assigned on November 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Emotional Revival LLC?
Emotional Revival LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Emotional Revival LLC practice?
The practice location is 130 Hoffman RD, Ellington, CT 06029-2421. The office can be reached at 860-593-6310 (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 1972211563 directly on the NPPES registry website.