Kimberly Gereda Psychotherapy & Self-Care

LBN: Kimberly Gereda Psychotherapy & Self-Care
Kimberly Gereda Psychotherapy & Self-Care is an health care organization with primary practice located at 59 Elm St Suite #500, New Haven CT 06510-2047. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kimberly Gereda Psychotherapy & Self-Care can be contacted via phone (203) 525-4272, or through Gereda, Kimberly via phone (203) 525-4272.

Contact Information

Primary practice address
59 Elm St Suite #500 New Haven CT 06510-2047
Fax:
Website:
Authorized official contact:
Name: Gereda, Kimberly Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007676 Connecticut

Profile Details

NPI number 1477002889
LBN Legal business name Kimberly Gereda Psychotherapy & Self-Care
DBA Doing business as
Authorized official Gereda, Kimberly Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2016
Last updated Sep 26th, 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 1477002889 NPPES
Connecticut MEDICAID 008067075

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