Organization Active NPI

Eye Explore Your Essence LLC

  • Marriage & Family Therapist
  • Naugatuck, CT
National Provider Identifier
1740958321
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EYE EXPLORE YOUR ESSENCE LLC
Practice address
99 Lantern Park Dr Unit 4
Naugatuck, CT 06770-1840
Phone
(860) 259-4434
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Dazjavia WilliamsNPI 1538708482
Title
LMFT
Phone
(860) 259-4434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

99 Lantern Park Dr Unit 4
Naugatuck, CT 06770-1840

Mailing address

99 Lantern Park Dr Unit 4
Naugatuck, CT 06770-1840
Phone (860) 259-4434

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1740958321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LANTERN PARK DR UNIT 4",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067701840",
            "telephone_number": "860-259-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LANTERN PARK DR UNIT 4",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067701840",
            "telephone_number": "860-259-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE EXPLORE YOUR ESSENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAZJAVIA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "860-259-4434"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.