Healthcare Provider Details

I. General information

NPI: 1215646179
Provider Name (Legal Business Name): HANDS2017 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 NEW CANAAN AVE
NORWALK CT
06850-2600
US

IV. Provider business mailing address

70 NEW CANAAN AVE
NORWALK CT
06850-2600
US

V. Phone/Fax

Practice location:
  • Phone: 203-979-9372
  • Fax:
Mailing address:
  • Phone: 203-979-9372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIANNA THOMPSON
Title or Position: OWNER
Credential: LPC
Phone: 203-979-9372