Taliceo, Marcy

Taliceo, Marcy is an sole proprietor health care provider with primary practice located at 25 High St , Enfield CT 06082. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Taliceo, Marcy can be contacted via phone (860) 698-6077.

Contact Information

Primary practice address
25 High St Enfield CT 06082
Phone: (860) 698-6077
Fax: (860) 698-6631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8146 Massachusetts
Behavioral Health & Social Service Providers / Professional 101YP2500X 2378 Connecticut

Profile Details

NPI number 1114216223
LBN Legal business name Taliceo, Marcy
Credentials MA, LMHC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2011
Last updated Sep 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114216223 NPPES
Connecticut MEDICAID 008045179

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