Healthcare Provider Details

I. General information

NPI: 1275940900
Provider Name (Legal Business Name): ROBERT TREMONTE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EAST AVE
NORWALK CT
06851-5010
US

IV. Provider business mailing address

100 EAST AVE
NORWALK CT
06851-5010
US

V. Phone/Fax

Practice location:
  • Phone: 203-299-1315
  • Fax: 203-854-6951
Mailing address:
  • Phone: 203-299-1315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number003096
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: