Personal Growth & Wellness

Primary specialty

CounselorTaxonomy code 101Y00000X

License

002063 Issued in CT

Legal business name

PERSONAL GROWTH & WELLNESS

Practice address

35 Old Tavern Rd
Suite 101
Orange, CT 06477-3450

Phone

(203) 515-6296

NPI assigned

Mar 2, 2015

Last updated

Mar 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Yingling, LPC

Title

Owner

Phone

(203) 515-6296

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1295127041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LONDONDERRY LN",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603757",
            "telephone_number": "203-515-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 OLD TAVERN RD",
            "address_2": "SUITE 101",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773450",
            "telephone_number": "203-515-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL GROWTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "YINGLING",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-515-6296",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "002063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrics and Adolescent Medicine, P.C.
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• Maria Riza Perez
• Judy Lynne Perlman, PH.D.
• Mikaela Perrelli
• Edward Joseph Perten, MPS, LMFT
• Robert Ernest Pesce Jr., D.M.D., M.D.S.
• Ashleigh Lauren Pettit, LCSW
• Jessica A. Pipitone, CNM
• Amy L. Plano, R.D.

• Counselor in Orange, CT
• Providers in Orange, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.