Peralta, Elisabeth D
Peralta, Elisabeth D is an individual health care provider with primary practice located at 402 E Main St , Waterbury CT 06702-1701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Peralta, Elisabeth D can be contacted via phone (203) 574-9000.Contact Information
Primary practice address
402 E Main St
Waterbury CT 06702-1701
Phone: (203) 574-9000
Fax: (203) 574-9006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2362 | Connecticut |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1114313947 |
|---|---|
| LBN Legal business name | Peralta, Elisabeth D |
| Credentials | LADC,MSW,BSW,ASW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2015 |
| Last updated | Sep 27th, 2024 - about 2 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 | 1114313947 | NPPES |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | MEDICAID | 0808064941 | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | PENDING | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | PENDING | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | PENDING | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | 13818187 | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | PENDING | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
| Connecticut | Other | D339210 402 E MAIN | UNITED BEHAVIORAL HEALTH GRP/FACILITY |
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