Healthcare Provider Details

I. General information

NPI: 1265792030
Provider Name (Legal Business Name): EMPOWERING THERAPY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 RUSSELL ST
NEW BRITAIN CT
06052-1312
US

IV. Provider business mailing address

194 PROSPECT ST
BRISTOL CT
06010-6354
US

V. Phone/Fax

Practice location:
  • Phone: 860-365-9122
  • Fax:
Mailing address:
  • Phone: 860-899-7297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number002068
License Number StateCT

VIII. Authorized Official

Name: JANEFFER DELVALLE
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 860-899-7297