Women Reshaping Lives, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

000580 Issued in CT

Legal business name

WOMEN RESHAPING LIVES, LLC

Practice address

540 Hopmeadow St
Simsbury, CT 06070-2496

Phone

(860) 810-3915

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Susan L Levine

Title

Counselor

Phone

(860) 810-3915

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1902230766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702496",
            "telephone_number": "860-810-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702496",
            "telephone_number": "860-810-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN RESHAPING LIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "860-810-3915",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "000580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Walsh
• Heather Warner, PT, DPT
• Marcus James Wilcox, PTA
• Michelle R. Willard, M.A.
• Michael John Williams, D.M.D.
• Michelle Anne Woodhouse
• Linda Yates, LCSW
• Dorene P Zhulkovsky, MA
• Anthony J Zukowski, PT
• Karen Jo Zwinakis, LCSW

• Community/Behavioral Health Agency in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.