Healthcare Provider Details

I. General information

NPI: 1376357541
Provider Name (Legal Business Name): ALWAYS SOMEWHERE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MAIN ST
WESTPORT CT
06880-3206
US

IV. Provider business mailing address

390 CHARLES ST APT 105
BRIDGEPORT CT
06606-5676
US

V. Phone/Fax

Practice location:
  • Phone: 203-301-8119
  • Fax:
Mailing address:
  • Phone: 914-619-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MARKYSHA DOUGLAS
Title or Position: OWNER
Credential:
Phone: 914-619-0522