Provider Demographics
NPI:1578833760
Name:SOUND COUNSELING CENTER LLC
Entity type:Organization
Organization Name:SOUND COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KENEFICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-575-1671
Mailing Address - Street 1:158 WESTBROOK RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1553
Mailing Address - Country:US
Mailing Address - Phone:860-575-1671
Mailing Address - Fax:860-767-8800
Practice Address - Street 1:158 WESTBROOK RD
Practice Address - Street 2:SUITE 7
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1553
Practice Address - Country:US
Practice Address - Phone:860-575-1671
Practice Address - Fax:860-767-8800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007155251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health