1730202961 NPI number — WOMEN'S COUNSELING CENTER, INC.

Table of content: (NPI 1730202961)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730202961 NPI number — WOMEN'S COUNSELING CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMEN'S COUNSELING CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COUNSELING ASSOCIATES OF GREATER DANBURY
Provider Other Organization Name Type Code:
3
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:
1730202961
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 OLD NEW MILFORD RD
Provider Second Line Business Mailing Address:
SUITE 1-B
Provider Business Mailing Address City Name:
BROOKFIELD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06804-2426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-775-2583
Provider Business Mailing Address Fax Number:
203-775-2863

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 OLD NEW MILFORD RD
Provider Second Line Business Practice Location Address:
SUITE 1-B
Provider Business Practice Location Address City Name:
BROOKFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06804-2426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-775-2583
Provider Business Practice Location Address Fax Number:
203-775-2863
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GOSTANIAN
Authorized Official First Name:
SUE
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
203-775-2583

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





Copyright © 2007-2024 www.npivalidator.com