Healthcare Provider Details

I. General information

NPI: 1477487205
Provider Name (Legal Business Name): ECLIPSE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 S MAIN ST STE 209
WEST HARTFORD CT
06107-2403
US

IV. Provider business mailing address

61 S MAIN ST STE 209
WEST HARTFORD CT
06107-2403
US

V. Phone/Fax

Practice location:
  • Phone: 860-251-9617
  • Fax:
Mailing address:
  • Phone: 860-251-9617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KACEY E FRIEDMAN
Title or Position: OWNER
Credential: LPC
Phone: 860-251-9617