Healthcare Provider Details

I. General information

NPI: 1902906886
Provider Name (Legal Business Name): S.A.P. SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 09/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 LEDYARD AVE
BLOOMFIELD CT
06002-3353
US

IV. Provider business mailing address

9 LEDYARD AVE
BLOOMFIELD CT
06002-3353
US

V. Phone/Fax

Practice location:
  • Phone: 860-478-5399
  • Fax: 860-904-9197
Mailing address:
  • Phone: 860-478-5399
  • Fax: 860-298-0855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000343
License Number StateCT

VIII. Authorized Official

Name: DR. ALBERT F. A. YOUNG SR.
Title or Position: OWNER
Credential: P.HD, LADC, SAP.
Phone: 860-478-5399