1073355764 NPI number — HELENE RUTH MORNEAU LPC

Table of content: HELENE RUTH MORNEAU LPC (NPI 1073355764)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073355764 NPI number — HELENE RUTH MORNEAU LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORNEAU
Provider First Name:
HELENE
Provider Middle Name:
RUTH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHULENBURG MORNEAU
Provider Other First Name:
HELENE
Provider Other Middle Name:
RUTH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1073355764
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AMBITIONS COUNSELING SERVICES, LLC
Provider Second Line Business Mailing Address:
45 FAIR STREET
Provider Business Mailing Address City Name:
WALLINGFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06492
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-565-5403
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AMBITIONS COUNSELING SERVICES, LLC
Provider Second Line Business Practice Location Address:
45 FAIR STREET
Provider Business Practice Location Address City Name:
WALLINGFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06492
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-565-5403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/12/2024

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:  6941 , 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)