Authentic Balance Consortium LLC

Professional Counselor · Chaplin, CT

Organization Active NPI

NPI number 1538347349

Practice location

267 Willimantic Rd
Suite 5
Chaplin, CT 06235-2516
Phone
(860) 617-2848

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NPI record

NPI
1538347349
Entity type
Organization (Type 2)
Enumeration date
February 4, 2008
Last updated
February 4, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 001484 CT
Clinical Social Worker 1041C0700X 006609 CT

Authorized official

Name
Dr. Diane Tarricone, LPC
Title
Partner
Phone
(860) 617-2848

About Authentic Balance Consortium LLC

Authentic Balance Consortium LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 267 Willimantic Rd, Suite 5, Chaplin, CT 06235-2516. The NPI number 1538347349 was assigned on February 4, 2008 and the record was last updated on February 4, 2008.

Authentic Balance Consortium LLC lists 2 licenses in the registry: #001484 (CT) for Professional Counselor; #006609 (CT) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Diane Tarricone, LPC, Partner.

Frequently asked questions

What is the NPI number of Authentic Balance Consortium LLC?

The NPI number is 1538347349.

What is the phone number of Authentic Balance Consortium LLC?

The phone number listed for the practice location is (860) 617-2848.

Where is Authentic Balance Consortium LLC located?

267 Willimantic Rd, Suite 5, Chaplin, CT 06235-2516.

What is the taxonomy code for Authentic Balance Consortium LLC?

The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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