Healthcare Provider Details

I. General information

NPI: 1629190277
Provider Name (Legal Business Name): NURSE COUNSELING GROUP LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 EAST AVENUE STE F
NORWALK CT
06851-4903
US

IV. Provider business mailing address

71 EAST AVENUE STE F
NORWALK CT
06851-4903
US

V. Phone/Fax

Practice location:
  • Phone: 203-838-1678
  • Fax: 203-854-6775
Mailing address:
  • Phone: 203-838-1678
  • Fax: 203-854-6775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS T HACKETT
Title or Position: VP TREASURER
Credential:
Phone: 203-838-1678