Healthcare Provider Details

I. General information

NPI: 1932630886
Provider Name (Legal Business Name): HERE AND NOW COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 03/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 HIGHLAND AVE
CHESHIRE CT
06410-2254
US

IV. Provider business mailing address

143 PINE HILL RD
THOMASTON CT
06787-1955
US

V. Phone/Fax

Practice location:
  • Phone: 860-539-0185
  • Fax:
Mailing address:
  • Phone: 203-841-8297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number003063
License Number StateCT

VIII. Authorized Official

Name: SCOTT PAUL OGURICK
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MS, LPC
Phone: 860-484-3712