=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467380519
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REBECCA ARCIDIACONO LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2026
-----------------------------------------------------
Last Update Date | 05/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 43 OLMSTEAD RD
-----------------------------------------------------
City | REDDING
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06896-1021
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-719-6643
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 43 OLMSTEAD RD
-----------------------------------------------------
City | REDDING
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06896-1021
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-719-6643
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER AND PSYCHOTHERAPIST
-----------------------------------------------------
Name | REBECCA ARCIDIACONO
-----------------------------------------------------
Credential | LICSW, LCSW
-----------------------------------------------------
Telephone | 914-719-6643
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------