Healthcare Provider Details

I. General information

NPI: 1619412616
Provider Name (Legal Business Name): KATO COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 12/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MILL PLAIN RD 3RD FLOOR
DANBURY CT
06811-5178
US

IV. Provider business mailing address

100 MILL PLAIN RD 3RD FLOOR
DANBURY CT
06811-5178
US

V. Phone/Fax

Practice location:
  • Phone: 203-802-6184
  • Fax: 866-213-3606
Mailing address:
  • Phone: 203-802-6184
  • Fax: 866-213-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2759
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number2759
License Number StateCT

VIII. Authorized Official

Name: DR. BOBBY KATO
Title or Position: PSYCHOLOGIST
Credential: PHD, MS, LPC
Phone: 203-802-6184