1215238191 NPI number — MS. LORI B CAPRI M.S., M.H.A.

Table of content: MS. LORI B CAPRI M.S., M.H.A. (NPI 1215238191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215238191 NPI number — MS. LORI B CAPRI M.S., M.H.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAPRI
Provider First Name:
LORI
Provider Middle Name:
B
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., M.H.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215238191
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/09/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 FARVIEW AVENUE, #3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DANBURY
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-994-2723
Provider Business Mailing Address Fax Number:
203-792-8739

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1287 STRONGTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTHBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06488-1948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-758-1441
Provider Business Practice Location Address Fax Number:
203-758-1658
Provider Enumeration Date:
11/09/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  00700 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00700 . This is a "LICENSED PROFESSIONAL COUNSELOR" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".