Boni Alim
Individual provider Active NPI Counselor · Enfield, CT
NPI 1992377220 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1992377220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 153 Hazard Ave
Enfield, CT 06082-4592 - Phone
- (860) 731-5522
- Fax
- (860) 731-5536
- NPI assigned
- Jul 15, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
153 Hazard Ave
Enfield, CT 06082-4592
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 731-5522
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. 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.