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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821424706 | NPPES |
Connecticut | Other | 12653171 | CAQH |
Connecticut | MEDICAID | 008049844 | CAQH |
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