Healthcare Provider Details

I. General information

NPI: 1487689360
Provider Name (Legal Business Name): CAPITOL REGION EDUCATION COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CHARTER OAK AVE
HARTFORD CT
06106-1912
US

IV. Provider business mailing address

111 CHARTER OAK AVE
HARTFORD CT
06106-1912
US

V. Phone/Fax

Practice location:
  • Phone: 806-509-3770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateCT

VIII. Authorized Official

Name: MR. DON WALSH
Title or Position: CFO
Credential:
Phone: 860-509-3623