Takima Hurst
Individual provider Active NPI Mental Health Counselor · Enfield, CT
NPI 1679880884 · NPPES record last updated Sep 9, 2010
Key facts
- NPI
- 1679880884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 153 Hazard Ave
Enfield, CT 06082-4592 - Phone
- (860) 253-5020
- Fax
- (860) 253-5030
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
153 Hazard Ave
Enfield, CT 06082-4592
Mailing address
153 Hazard Ave
Enfield, CT 06082-4592
Phone (860) 253-5020
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- Nekeisha Hutchinson
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- Joseph L Ianello
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All providers in Enfield, 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 Sep 9, 2010. 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.