Peak Longevity Llc

LBN: Peak Longevity Llc
Peak Longevity Llc is an health care organization with primary practice located at 451 State St , North Haven CT 06473-3070. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Peak Longevity Llc can be contacted via phone (203) 281-4325, or through Marcus, Lcsw, Deborah via phone (203) 281-4325.

Contact Information

Primary practice address
451 State St North Haven CT 06473-3070
Phone: (203) 281-4325
Fax: (203) 281-4324
Website:
Map and Directions
Authorized official contact:
Name: Marcus, Lcsw, Deborah Licensed Clinical Social Worker (LCSW)
Phone: (203) 281-4325

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005904 Connecticut
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 005904 Connecticut

Profile Details

NPI number 1922596360
LBN Legal business name Peak Longevity Llc
DBA Doing business as
Authorized official Marcus, Lcsw, Deborah Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2018
Last updated Apr 30th, 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 1922596360 NPPES
Connecticut Other 140005904CT03 ANTHEM BCBS

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