Healthcare Provider Details

I. General information

NPI: 1932325669
Provider Name (Legal Business Name): RIMMON POND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BANK STREET SUITE 306
SEYMOUR CT
06483
US

IV. Provider business mailing address

100 BANK STREET SUITE 306
SEYMOUR CT
06483
US

V. Phone/Fax

Practice location:
  • Phone: 203-888-0462
  • Fax: 203-888-1465
Mailing address:
  • Phone: 203-888-0462
  • Fax: 203-888-1465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY E KRUGER
Title or Position: DIRECTOR
Credential: LMFT
Phone: 203-888-0462