Rodriguez, Suhail Darie
Rodriguez, Suhail Darie is an sole proprietor health care provider with primary practice located at 357 Whitney Avenue G-05 Rear, New Haven CT 06511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rodriguez, Suhail Darie can be contacted via phone (203) 779-6811.Contact Information
Primary practice address
357 Whitney Avenue G-05 Rear
New Haven CT 06511
Phone: (203) 779-6811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000815 | Connecticut |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 003267 | Connecticut |
Profile Details
| NPI number | 1710271101 |
|---|---|
| LBN Legal business name | Rodriguez, Suhail Darie |
| Credentials | MS, LPC, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2011 |
| Last updated | Apr 2nd, 2018 - about 7 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 | 1710271101 | NPPES |
| Connecticut | MEDICAID | 008077718 |
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