Dina R Bolella
Individual provider Active NPI Counselor · Middletown, CT
NPI 1144075698 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1144075698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 955 S Main St
Middletown, CT 06457-5153 - Phone
- (860) 731-5522
- Fax
- (860) 731-5536
- NPI assigned
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
955 S Main St
Middletown, CT 06457-5153
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 697-3351
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.