Provider Demographics
NPI:1578194395
Name:NEWINGTON COUNSELING & CONSULTING SERVICES, LLC
Entity type:Organization
Organization Name:NEWINGTON COUNSELING & CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-800-6407
Mailing Address - Street 1:734 NEW BRITAIN AVE STE E2ND
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-4368
Mailing Address - Country:US
Mailing Address - Phone:860-817-5762
Mailing Address - Fax:
Practice Address - Street 1:734 NEW BRITAIN AVE STE E2ND
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-4368
Practice Address - Country:US
Practice Address - Phone:860-817-5762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty