Healthcare Provider Details
I. General information
NPI: 1780240192
Provider Name (Legal Business Name): NAHOMI RIVERA-PINEIRO LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/13/2019
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
153 HAZARD AVE
ENFIELD CT
06082-4592
US
IV. Provider business mailing address
2 WATERSIDE XING STE 401
WINDSOR CT
06095-1588
US
V. Phone/Fax
- Phone: 860-731-5522
- Fax: 860-731-5536
- Phone: 860-731-5522
- Fax: 860-731-5536
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 7834 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: