Etherapy Of Connecticut, Llc
LBN: Etherapy Of Connecticut, Llc
Etherapy Of Connecticut, Llc is an health care organization with primary practice located at 1062 Barnes Rd Ste 106 , Wallingford CT 06492-6012. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Etherapy Of Connecticut, Llc can be contacted via phone (860) 882-3268, or through Rogala, Justin Andrew via phone (203) 308-8739.
Contact Information
Primary practice address
1062 Barnes Rd Ste 106
Wallingford CT 06492-6012
Phone: (860) 882-3268
Fax: (203) 265-0165
Website:
Authorized official contact:
Name: Rogala, Justin Andrew Licensed Clinical Social Worker (LCSW)
Phone: (203) 308-8739
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 006512 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006512 | Connecticut |
Profile Details
| NPI number | 1851640163 |
|---|---|
| LBN Legal business name | Etherapy Of Connecticut, Llc |
| DBA Doing business as | |
| Authorized official | Rogala, Justin Andrew Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2012 |
| Last updated | Jul 21st, 2022 - about 2 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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