Healthcare Provider Details

I. General information

NPI: 1558366757
Provider Name (Legal Business Name): UNITED COMMUNITY AND FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 TOWN STREET
NORWICH CT
06360-2323
US

IV. Provider business mailing address

47 TOWN STREET
NORWICH CT
06360-2323
US

V. Phone/Fax

Practice location:
  • Phone: 860-892-7042
  • Fax: 860-822-4939
Mailing address:
  • Phone: 860-892-7042
  • Fax: 860-822-4939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC-0271
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0268
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC-0271
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberC-0271
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberC-0271
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberC-0271
License Number StateCT
# 7
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC-0271
License Number StateCT
# 8
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License NumberC-0271
License Number StateCT
# 9
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: FRANK MEANEY
Title or Position: CFO
Credential:
Phone: 860-822-4153