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NPI 1942601000

NPI 1942601000 : GREENWOODS COUNSELING REFERRALS, INC. : LITCHFIELD, CT

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General NPI Number Information
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    NPI Number           |    1942601000
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREENWOODS COUNSELING REFERRALS, INC. 
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Dates
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    Enumeration Date     |    09/09/2014
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    Last Update Date     |    02/10/2026
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Provider Practice Location Address
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    Address Line         |    25 SOUTH ST 
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    City                 |    LITCHFIELD
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    State                |    CT
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    Zip                  |    06759-4005
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    Country              |    US
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    Telephone            |    860-567-4437
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    Fax                  |    860-567-0300
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Provider Business Mailing Address
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    Address Line         |    25 SOUTH ST 
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    City                 |    LITCHFIELD
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    State                |    CT
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    Zip                  |    06759-4005
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    Country              |    US
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    Telephone            |    860-567-4437
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    Fax                  |    860-567-0300
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Authorized Official
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    Title or Position    |    CLINICAL COORDINATOR
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    Name                 |    MS. ROBIN MATTIELLO MIASEK 
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    Credential           |    LCSW
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    Telephone            |    860-567-4437
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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       |    8710
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    License Number State |    CT
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