Organization Active NPI

Yamel Coroll-Iglesias

  • Marriage & Family Therapist
  • Stamford, CT
National Provider Identifier
1033645767
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001153 Issued in CT
Legal business name
YAMEL COROLL-IGLESIAS
Practice address
1 Bank St
Suite 207
Stamford, CT 06901-3006
Phone
(203) 667-1812
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yamel Corcoll-Iglesias, LMFT
Title
Owner
Phone
(203) 667-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001153 CT Primary

Addresses

Primary practice location

1 Bank St
Suite 207
Stamford, CT 06901-3006

Mailing address

1 Bank St
Suite 207
Stamford, CT 06901-3006
Phone (203) 667-1812

Other names 1

  • Live Your True Colors, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1 Bank St
Ste 207
Stamford, CT 06901
Phone (203) 324-3562

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1033645767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "SUITE 207",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013006",
            "telephone_number": "203-667-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "SUITE 207",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013006",
            "telephone_number": "203-667-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMEL COROLL-IGLESIAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "CORCOLL-IGLESIAS",
        "authorized_official_first_name": "YAMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-667-1812",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Your True Colors, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.