MS. PAULETTE IRIS POWELL-REEVES (NPI# 1508972399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508972399 |
Entity Type | Individual |
Full Name | MS. PAULETTE IRIS POWELL-REEVES |
Credential | LPC |
Practice Address |
2874 Main St Suite 2 E, Second Floor Stratford CT 06614-4957 |
Mailing Address |
Po Box 699 Stratford CT 06615-6646 |
Practice Telephone | 2035409898 |
Mailing Telephone | 2032588213 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2008-03-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
001455 | CT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH ID | 11582512 | 01 | |
CT | BLUE CROSS/BLUE SHIELD | 240001455CT01 | 01 |
Street Address |
2874 MAIN ST SUITE 2 E, SECOND FLOOR |
City | STRATFORD |
State | CT |
Zip Code | 06614-4957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902346786 | Nora Coulter | Nurse Practitioner | 2874 Main St, Stratford, CT 06614-4957 | 2017-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
Find all providers in zip 06614 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265903223 | Silvia Dicovich, LLC | Counselor | 3241 Main St Ste B, Stratford, CT 06614-4850 | 2018-12-16 |
1821592072 | Breakwater Counseling Center, LLC | Counselor | 1110 Broadbridge Ave, Stratford, CT 06615-5801 | 2018-03-22 |
1285189902 | Tameria Macari | Counselor | 3095 Main St, 2nd Floor, Stratford, CT 06614-4852 | 2016-08-23 |
1083068308 | New Hope Therapy, LLC | Counselor | 2875 Main St Ste 2, Stratford, CT 06614-4979 | 2016-04-22 |
1497137665 | Silagy Family Counseling Center LLC | Counselor | 54 Allyndale Dr, Stratford, CT 06614-5101 | 2015-06-24 |
1841695558 | Christopher Albino | Counselor | 379a Piute Ln, Stratford, CT 06614-6104 | 2014-10-24 |
1083016703 | Elizabeth Rose Damon | Counselor | 4021 Main St, 1f, Stratford, CT 06614-3568 | 2014-09-24 |
1679984785 | Virtue Health, LLC | Counselor | 195 Albright Ave, Stratford, CT 06614-3064 | 2014-05-12 |
1255652004 | Carlita Freni | Counselor | 42 E. Laurel Road, Suite 1100, Cares, Stratford, NJ 08084 | 2010-06-16 |
1558389486 | Tomichan P Aprame | Counselor | 2505 Main St Ste 208, Stratford, Stratford, CT 06615-5813 | 2006-07-18 |
Find all providers in STRATFORD |
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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.