Katie Burdick, Llc

LBN: Katie Burdick, Llc
Katie Burdick, Llc is an health care organization with primary practice located at 642 Hilliard St Ste 1302 , Manchester CT 06042-2705. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Katie Burdick, Llc can be contacted via phone (860) 748-5441, or through Burdick, Katherine via phone (860) 748-5441.

Contact Information

Primary practice address
642 Hilliard St Ste 1302 Manchester CT 06042-2705
Phone: (860) 748-5441
Fax: (860) 812-2442
Website:
Map and Directions
Authorized official contact:
Name: Burdick, Katherine LMFT
Phone: (860) 748-5441

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1537 Connecticut

Profile Details

NPI number 1306389424
LBN Legal business name Katie Burdick, Llc
DBA Doing business as
Authorized official Burdick, Katherine LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2016
Last updated Sep 21st, 2018 - about 6 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 1306389424 NPPES
Connecticut MEDICAID 008069258

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