NPI Code Details Logo

NPI 1821760844

NPI 1821760844 : SOJOURN COUNSELING LLC : EAST GRANBY, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1821760844
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SOJOURN COUNSELING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/28/2021
-----------------------------------------------------
    Last Update Date     |    02/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    19 S MAIN ST UNIT B 
-----------------------------------------------------
    City                 |    EAST GRANBY
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06026-9550
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-909-0203
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    309 MERRIMAN RD 
-----------------------------------------------------
    City                 |    WINDSOR
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06095-1020
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-909-0203
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     JARED  WHIPPLE 
-----------------------------------------------------
    Credential           |    LPC
-----------------------------------------------------
    Telephone            |    860-909-0203
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.