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NPI 1891506952

NPI 1891506952 : CAPPELLA COUNSELING, LLC. : WATERTOWN, CT

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General NPI Number Information
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    NPI Number           |    1891506952
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPPELLA COUNSELING, LLC. 
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Dates
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    Enumeration Date     |    01/17/2025
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    Last Update Date     |    03/27/2025
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Provider Practice Location Address
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    Address Line         |    51 DEPOT ST STE 202E 
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    City                 |    WATERTOWN
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    State                |    CT
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    Zip                  |    06795-2667
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    Country              |    US
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    Telephone            |    203-510-2082
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    20 GEORGES CT 
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    City                 |    WATERBURY
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    State                |    CT
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    Zip                  |    06708-1865
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    Country              |    US
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    Telephone            |    203-510-2082
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ELIZABETH A CAPPELLA 
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    Credential           |    LMFT
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    Telephone            |    203-510-2082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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