Fort Hill Counselors Llc

LBN: Fort Hill Counselors Llc
Fort Hill Counselors Llc is an health care organization with primary practice located at 1 Fort Hill Rd , Groton CT 06340-4799. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Fort Hill Counselors Llc can be contacted via phone (860) 415-4551, or through Maciolek, Thomas Joseph via phone (860) 415-4551.

Contact Information

Primary practice address
1 Fort Hill Rd Groton CT 06340-4799
Phone: (860) 415-4551
Fax: (860) 415-4554
Website:
Map and Directions
Authorized official contact:
Name: Maciolek, Thomas Joseph PH.D.
Phone: (860) 415-4551

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001048 Connecticut

Profile Details

NPI number 1740436344
LBN Legal business name Fort Hill Counselors Llc
DBA Doing business as
Authorized official Maciolek, Thomas Joseph PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2008
Last updated Nov 20th, 2015 - about 9 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 1740436344 NPPES
Connecticut MEDICAID 004057436
Connecticut Other 060001048CT06
Connecticut Other 186856

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