Alexandra Corriveau LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ALEXANDRA CORRIVEAU LLC

Practice address

387C Tuckie Rd
North Windham, CT 06256-1370

Phone

(860) 576-8236

Fax

(860) 786-7932

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Corriveau

Title

LPC

Phone

(860) 576-8236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1982237053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E BROWN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165130",
            "telephone_number": "860-576-8236",
            "fax_number": "860-786-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387C TUCKIE RD",
            "city": "NORTH WINDHAM",
            "state": "CT",
            "postal_code": "062561370",
            "telephone_number": "860-576-8236",
            "fax_number": "860-786-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA CORRIVEAU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "CORRIVEAU",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "860-576-8236"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Dental Care of North Windham, LLC
• Marianne Roberts Carroll, MA LADC
• Timothy Kevin Carroll, LCSW
• David J. Hunyady, P.C.
• Robert F Dubois, DC

• Professional Counselor in North Windham, CT
• Providers in North Windham, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.