Healthcare Provider Details

I. General information

NPI: 1528988110
Provider Name (Legal Business Name): DAYBREAK COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 VALLEY VIEW RD
TRUMBULL CT
06611-3831
US

IV. Provider business mailing address

461 MONROE TPKE UNIT 9014
MONROE CT
06468-2338
US

V. Phone/Fax

Practice location:
  • Phone: 203-572-5792
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER IVETTE BOSQUEZ
Title or Position: OWNER
Credential: LCSW
Phone: 929-436-6740