Melillo, Elaine C
Melillo, Elaine C is an individual health care provider with primary practice located at 51 Broad St Family Advocacy Program, Middletown CT 06457-3204. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Melillo, Elaine C can be contacted via phone (860) 358-3410.Contact Information
Primary practice address
51 Broad St Family Advocacy Program
Middletown CT 06457-3204
Phone: (860) 358-3410
Fax: (860) 358-3404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001324 | Connecticut |
Profile Details
| NPI number | 1508090507 |
|---|---|
| LBN Legal business name | Melillo, Elaine C |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2009 |
| Last updated | May 6th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508090507 | NPPES |
| Connecticut | Other | 001324 | CT LICENSE |
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