Healthcare Provider Details

I. General information

NPI: 1669396289
Provider Name (Legal Business Name): SIMPLY COMPLEX COUNSELING & CONSULTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1176 FARMINGTON AVENUE
BERLIN CT
06037-2302
US

IV. Provider business mailing address

463 SOUTHINGTON RD
BERLIN CT
06037-3422
US

V. Phone/Fax

Practice location:
  • Phone: 860-716-6246
  • Fax:
Mailing address:
  • Phone: 860-209-1231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH MARY HRUBIEC RETANO
Title or Position: PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 860-209-1231