Terapia De Juego, Llc

LBN: Terapia De Juego, Llc
Terapia De Juego, Llc is an health care organization with primary practice located at 30 Myano Ln Suite 20, Stamford CT 06902-4532. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Terapia De Juego, Llc can be contacted via phone (220) 388-3813, or through Tonning, Louise Madelyn via phone (203) 883-8135.

Contact Information

Primary practice address
30 Myano Ln Suite 20 Stamford CT 06902-4532
Fax: (203) 883-8139
Website:
Authorized official contact:
Name: Tonning, Louise Madelyn Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 001536 Connecticut
Agencies / Community/Behavioral Health 251S00000X R071645 New York

Profile Details

NPI number 1457711954
LBN Legal business name Terapia De Juego, Llc
DBA Doing business as
Authorized official Tonning, Louise Madelyn Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2016
Last updated Feb 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 1457711954 NPPES
Connecticut MEDICAID 008017104

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