Powell-Reeves, Paulette Iris
Powell-Reeves, Paulette Iris is an sole proprietor health care provider with primary practice located at 2874 Main St Suite 2 E, Second Floor, Stratford CT 06614-4957. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Powell-Reeves, Paulette Iris can be contacted via phone (203) 540-9898.Contact Information
Primary practice address
2874 Main St Suite 2 E, Second Floor
Stratford CT 06614-4957
Phone: (203) 540-9898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001455 | Connecticut |
Profile Details
| NPI number | 1508972399 |
|---|---|
| LBN Legal business name | Powell-Reeves, Paulette Iris |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Mar 3rd, 2008 - about 18 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 | 1508972399 | NPPES |
| Other | 11582512 | CAQH ID | |
| Other | 240001455CT01 | CAQH ID |
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