Organization Name: | LONG COVE COUNSELING, LLC |
NPI Number: | 1083809370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL MARIE HOWARD-ARLIA (LICENSED CLINICAL SOCIAL WORKER) |
Mailing Address: | 1 Fort Hill Rd Suite 3 Groton |
State: | CT US |
Postal Code: | 063404799 |
Phone Number: | 8604499216 |
Fax Number: | 8604499217 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |