Unveil Success LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UNVEIL SUCCESS LLC

Practice address

21 Merritt Ave Apt 2
Woodbridge, CT 06525-2336

Phone

(203) 909-9665

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Ebony Langston, LPCNPI 1447799051

Title

Clinician

Phone

(203) 506-2658

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebony Langston, LPC

  • Professional Counselor
  • New Haven, CT
  • NPI 1447799051
  NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1518545805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAIN ST # 927",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MERRITT AVE APT 2",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252336",
            "telephone_number": "203-909-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNVEIL SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "203-506-2658",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sharon Ann Vance, MSW LCSW
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• Victor Martin, MD LLC

• Mental Health Counselor in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.