Healthcare Provider Details

I. General information

NPI: 1477458438
Provider Name (Legal Business Name): PAIN TO POWER SUPPORT SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 STATE ST
HAMDEN CT
06517-3815
US

IV. Provider business mailing address

1840 STATE ST
HAMDEN CT
06517-3815
US

V. Phone/Fax

Practice location:
  • Phone: 203-909-5707
  • Fax:
Mailing address:
  • Phone: 203-909-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: RICHARD DELVALLE
Title or Position: FOUNDER
Credential:
Phone: 203-909-5707