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NPI Code Detail

MEDICARE: MISS KELLY URBANOWICZ LMHC, LPC

MEDICARE: MISS KELLY URBANOWICZ LMHC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMHC00169RI
2101YP2500XProfessional Counselor002187CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1486309OTHERRITUFTS TOTAL HEALTH PLAN
2412332OTHERRIBCBS BLUE CHIP
31031310OTHERRINHP-RI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
527262-9OTHERRIBCBS

General Provider Information

NPI Number : 1538240510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KELLY URBANOWICZ LMHC, LPC
Provider Business Mailing Address
First Line : 20 WANDA DR
Second Line :
City : BEACON FALLS
State : CT
Zip : 06403-1532
Country : US
Telephone Number : 203-446-7461
Fax Number : 203-463-8745
Provider Business Practice Location Address
First Line : 276 BANK ST
Second Line :
City : SEYMOUR
State : CT
Zip : 06483-2700
Country : US
Telephone Number : 203-446-7461
Fax Number : 203-463-8745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 06/11/2012

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