Bondage Breakers Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BONDAGE BREAKERS COUNSELING, LLC

Practice address

79 Trumbull St Unit C9
New Haven, CT 06511-3708

Phone

(203) 314-9551

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Bernic E V. Malachi, LPC

Title

Owner/Counselor

Phone

(203) 314-9551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1669934337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6434",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065170434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 TRUMBULL ST UNIT C9",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113708",
            "telephone_number": "203-314-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1399 State St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065112753",
            "country_code": "US",
            "telephone_number": "203-314-9551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065112364",
            "country_code": "US",
            "telephone_number": "203-314-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BONDAGE BREAKERS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "MALACHI",
        "authorized_official_first_name": "BERNIC E",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "203-314-9551",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amita Rao Bollapragada
• Jean L Bolognia, MD
• Debra Boltas, PH.D.
• Ty B. Bolte, MD
• Yvonne Bolumole, APRN, RN
• Pramod Bonde, MD
• Kathryn Bonese, M.D.
• Brian Adam Bonilla, LADC, LPC
• Claudia Bonilla
• Yvette Bonilla, LCSW

• Professional Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.