| Organization Name: | COUNSELING CENTER FOR WOMEN AND CHILDREN, LLC |
| NPI Number: | 1497016885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA CARR (OWNER) |
| Mailing Address: | 1224 Mill St Building B, Suite 103 East Berlin |
| State: | CT US |
| Postal Code: | 060231159 |
| Phone Number: | 8605754144 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2012 |
| NPI Last Update Date: | 06/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 002119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |