A Prospering Vision, Llc

LBN: A Prospering Vision, Llc
A Prospering Vision, Llc is an health care organization with primary practice located at 60 N Main St 3Rd Flr, Waterbury CT 06702-1443. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. A Prospering Vision, Llc can be contacted via phone (203) 558-9865, or through Caldwell, Elijah via phone (203) 558-9865.

Contact Information

Primary practice address
60 N Main St 3Rd Flr Waterbury CT 06702-1443
Phone: (203) 558-9865
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Caldwell, Elijah Licensed Clinical Social Worker (LCSW)
Phone: (203) 558-9865

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2084D0003X 040650 Connecticut
Agencies / Community/Behavioral Health 251S00000X 54084595001 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5149 Connecticut

Profile Details

NPI number 1932473527
LBN Legal business name A Prospering Vision, Llc
DBA Doing business as
Authorized official Caldwell, Elijah Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 29th, 2012
Last updated Nov 22nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932473527 NPPES
Connecticut MEDICAID 008042640

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