1447642541 NPI number — CARRIE GORDON-LAND COUNSELING SERVICES, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447642541 NPI number — CARRIE GORDON-LAND COUNSELING SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARRIE GORDON-LAND COUNSELING SERVICES, LLC
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:
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:
1447642541
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/26/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 POST RD W
Provider Second Line Business Mailing Address:
SUITE 102C
Provider Business Mailing Address City Name:
WESTPORT
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06880-4206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-227-2724
Provider Business Mailing Address Fax Number:
203-256-9999

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 POST RD W
Provider Second Line Business Practice Location Address:
SUITE 102C
Provider Business Practice Location Address City Name:
WESTPORT
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06880-4206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-227-2724
Provider Business Practice Location Address Fax Number:
203-256-9999
Provider Enumeration Date:
02/26/2015

Additional Information

Authorized Official

Authorized Official Last Name:
GORDON-LAND
Authorized Official First Name:
CARRIE
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PRINCIPAL
Authorized Official Telephone Number:
203-227-2724

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  000468 , 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)





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