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General NPI Number Information
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NPI Number | 1306318043
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Entity Type | Organization
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Legal Business Name | HUMAN SERVICES COUNCIL, INC.
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 81 W ROCKS RD
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City | NORWALK
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State | CT
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Zip | 06851-2215
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Country | US
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Telephone | 203-899-2970
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK ST
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City | NORWALK
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State | CT
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Zip | 06851-4841
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Country | US
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Telephone | 203-849-1111
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Fax | 203-849-1151
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Authorized Official
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Title or Position | DIRECTOR, SBHC
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Name | DR. ELLEN M CARROLL
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Credential | PHD, APRN
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Telephone | 203-550-3519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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