Eden Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007090 Issued in CT

Legal business name

EDEN COUNSELING SERVICES, LLC

Practice address

435 Buckland Rd
South Windsor, CT 06074-3720

Phone

(860) 726-8053

NPI assigned

Nov 20, 2011

Organization subpart

No

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

Authorized official

Name

Maureen A Francis-Dunn, LCSW

Title

Owner

Phone

(860) 726-8053

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321747200000",
    "number": "1487921391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BUCKLAND WAY",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952003",
            "telephone_number": "860-989-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743720",
            "telephone_number": "860-726-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-20",
        "last_updated": "2011-11-20",
        "status": "A",
        "authorized_official_last_name": "FRANCIS-DUNN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-726-8053",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2011; 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.