Tina Duvall, MSW
Individual provider Active NPI Mental Health Counselor · Columbia, CT
NPI 1235528654 · NPPES record last updated Jan 22, 2015
Key facts
- NPI
- 1235528654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 233 Route 6
Columbia, CT 06237-1125 - Phone
- (860) 228-4480
- Fax
- (860) 779-5437
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
233 Route 6
Columbia, CT 06237-1125
Mailing address
1007 N Main St
Dayville, CT 06241-2170
Phone (860) 774-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004040564 | Medicaid | CT |
Other providers in Columbia, CT
- Brandy Lee Craig
- Timothy Crosby
- Crossroads Physical Therapy LLC
- Jennifer Daniels
- Anne E Doherty
- Margaret Moffitt Earnest
- Emotions in Motion LLC
- Stephanie Ervin
- Erin Marie Fitzgerald Casper
- Gina M Flanagan
All providers in Columbia, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2015. 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.