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General NPI Number Information
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NPI Number | 1649519885
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Entity Type | Organization
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Legal Business Name | BGC COUNSELING, LLC
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 23B PASCO DR
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City | EAST WINDSOR
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State | CT
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Zip | 06088-1713
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Country | US
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Telephone | 860-698-1150
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Fax |
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Provider Business Mailing Address
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Address Line | 145 CANDLEWOOD DR
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City | ENFIELD
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State | CT
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Zip | 06082-2741
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Country | US
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Telephone | 860-698-1150
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | BRETT CARRA
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Credential |
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Telephone | 860-698-1150
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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 | 117430
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License Number State | MA
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