=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518752203
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SILENT VOICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2025
-----------------------------------------------------
Last Update Date | 04/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9 FLOWER HILL RD
-----------------------------------------------------
City | NEW MILFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06776-4403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-686-1999
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 413 VIRGINIA AVE
-----------------------------------------------------
City | AMBRIDGE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15003-1604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-822-0118
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR CEO
-----------------------------------------------------
Name | DEBORAH SOMUK-ATSIDIS
-----------------------------------------------------
Credential | LCSW,LICSW
-----------------------------------------------------
Telephone | 239-822-0118
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------