Vitale, Amy A

Vitale, Amy A is an sole proprietor health care provider with primary practice located at 250 W Main St Ste 301 , Branford CT 06405-4032. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Vitale, Amy A can be contacted via phone (203) 779-6784.

Contact Information

Primary practice address
250 W Main St Ste 301 Branford CT 06405-4032
Phone: (203) 779-6784
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3129 Connecticut
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 972 Connecticut

Profile Details

NPI number 1821424706
LBN Legal business name Vitale, Amy A
Credentials MS,BA,LADC,LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2013
Last updated Apr 27th, 2022 - about 3 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 1821424706 NPPES
Connecticut Other 12653171 CAQH
Connecticut MEDICAID 008049844 CAQH

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