NPI 1104227685 THE SACRED SELF, LLC NEWINGTON CT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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The Sacred Self, Llc - NPI: 1104227685

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: THE SACRED SELF, LLC
NPI Number: 1104227685
Entity Type Code: Organizational (2)
Authorized Official Name: CHARLEEN K MIELE
(OWNER)
Mailing Address: 171 Market Sq Suite 102
Newington
State: CT US
Postal Code: 061112927
Phone Number: 8606148382
Fax Number: 8605615394
NPI Enumeration Date: 09/15/2014
NPI Last Update Date: 09/15/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YP2500X
License Number: 002593
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CT
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Professional
Taxonomy Definition:


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