ELIZABETH DOMACK LLC (NPI# 1013558022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013558022 |
| Entity Type | Organization |
| Organization Name | ELIZABETH DOMACK LLC |
| Practice Address |
57 Plains Rd Ste 3c Milford CT 06461-2573 |
| Mailing Address |
18 Rimmon Rd Woodbridge CT 06525-2002 |
| Practice Telephone | 8603098334 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | ELIZABETH DOMACK (OWNER) |
| Authorized Official Telephone | 8603098334 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1225405152 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | ELIZABETH DOMACK LLC | 18 Rimmon Road, Woodbridge, CT 06525 |
| Street Address |
57 PLAINS RD STE 3C |
| City | MILFORD |
| State | CT |
| Zip Code | 06461-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609302876 | Michael Romano | Marriage & Family Therapist | 57 Plains Rd Ste 3c, Milford, CT 06461 | 2017-05-10 |
| 1609433598 | Michael Romano Lmft LLC | Marriage & Family Therapist | 57 Plains Rd Ste 3c, Milford, CT 06461-2573 | 2019-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1922592732 | Sherry Lucke | Nurse Practitioner | 26 Milford Hunt Ln, Milford, CT 06461 | 2018-06-15 |
| 1306220868 | Marie Charlene Louisgene | Dental Assistant | 25 Arlmont Street, Milford, CT 06461 | 2015-07-15 |
| 1275920753 | Alicea Corey | Marriage & Family Therapist | 580 Naugatuck Ave, Milford, CT 06461 | 2015-04-22 |
| 1891882478 | David M Brothers | Ophthalmology | 255 W River St, Milford, CT 06461 | 2006-10-06 |
| 1386884294 | Gail Grace Seamonds | Nurse Anesthetist, Certified Registered | 39 Lavery Ln, Milford, CT 06461-1625 | 2009-03-05 |
| 1588085591 | Linda C. Grenus | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2013-12-17 |
| 1669085692 | Jaclyn Bria | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-28 |
| 1477165314 | Brian Ing | Physical Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-21 |
| 1528670825 | Bohdanna Teresa Zazulak | Physical Medicine & Rehabilitation | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-18 |
| Find all providers in zip 06461 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017129 | Willow Tree Counseling, LLC | Counselor | 10 Buist Rd Ste 304, Milford, PA 18337-9311 | 2020-09-14 |
| 1992326144 | Alexander Robert Brack | Counselor | 25 Housatonic Ave, Milford, CT 06460-3417 | 2020-04-29 |
| 1346885266 | The Vue X-change | Counselor | 560 S Dupont Blvd, Milford, DE 19963-1758 | 2019-11-14 |
| 1497219547 | Hopewell Therapy LLC. | Counselor | 57 Plains Rd Ste 2c1, Milford, CT 06461-2589 | 2019-01-23 |
| 1619441672 | Holly Vitko | Counselor | 56 Alden Pl, Milford, CT 06460-4510 | 2019-01-14 |
| 1285105601 | Macharia Psychotherapy Servicces, LLC | Counselor | 59 Kent St, Milford, CT 06461-2949 | 2018-12-11 |
| 1437625936 | Psychotherapy Practice of Victoria Hall, LLC | Counselor | 31 Cherry St Ste 101, Milford, CT 06460-3465 | 2018-10-23 |
| 1386127132 | Ashley Dascola, LLC | Counselor | 57 Plains Rd Ste 1a, Milford, CT 06461-2573 | 2018-09-07 |
| 1184102808 | Mark Francis Cesaroni | Counselor | 125 Welchs Point Rd, Milford, CT 06460-7301 | 2018-08-03 |
| 1316436207 | Melonie K Bland | Counselor | 25 Robert St, Milford, CT 06461-4052 | 2018-05-07 |
| Find all providers in MILFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.