Healthcare Provider Details

I. General information

NPI: 1699593152
Provider Name (Legal Business Name): CARE COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 HARTFORD PIKE STE 208
DAYVILLE CT
06241-2153
US

IV. Provider business mailing address

559 HARTFORD PIKE STE 208
DAYVILLE CT
06241-2153
US

V. Phone/Fax

Practice location:
  • Phone: 959-995-0775
  • Fax: 959-901-0078
Mailing address:
  • Phone: 959-995-0775
  • Fax: 959-901-0078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. CARRIE B. VARGAS
Title or Position: PSYCHOLOGIST/OWNER
Credential:
Phone: 959-995-0776