Healthcare Provider Details
I. General information
NPI: 1083518138
Provider Name (Legal Business Name): TAKE CARE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
45 S MAIN ST
WEST HARTFORD CT
06107-2441
US
IV. Provider business mailing address
40 MOUNTAIN AVE
BLOOMFIELD CT
06002-2304
US
V. Phone/Fax
- Phone: 860-952-9533
- Fax:
- Phone: 860-576-4394
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MORGAN
FOUCAULT
Title or Position: OWNER
Credential: LCSW
Phone: 860-576-4394