Elizabeth Domack Llc

LBN: Elizabeth Domack Llc
Elizabeth Domack Llc is an health care organization with primary practice located at 57 Plains Rd Ste 3C , Milford CT 06461-2573. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Elizabeth Domack Llc can be contacted via phone (860) 309-8334, or through Domack, Elizabeth via phone (860) 309-8334.

Contact Information

Primary practice address
57 Plains Rd Ste 3C Milford CT 06461-2573
Phone: (860) 309-8334
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Domack, Elizabeth Licensed Professional Counselor (LPC)
Phone: (860) 309-8334

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1013558022
LBN Legal business name Elizabeth Domack Llc
DBA Doing business as
Authorized official Domack, Elizabeth Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2019
Last updated Oct 1st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013558022 NPPES
Connecticut MEDICAID 1225405152

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