EASTERN SERVICES & CAMP SIMON LLC (NPI# 1538582739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538582739 |
| Entity Type | Organization |
| Organization Name | EASTERN SERVICES & CAMP SIMON LLC |
| Practice Address |
82 Main St Windsor Locks CT 06096-2325 |
| Mailing Address |
115 Bridge St Suite C East Windsor CT 06088-9547 |
| Practice Telephone | 8602545127 |
| Practice Fax Number | 8603104235 |
| Mailing Telephone | 8602545127 |
| Mailing Fax Number | 8602545254 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MALY PHIMVONGSA (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 8602545127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
002227 | CT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
001470 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 Bridge St, Suite A, East Windsor, CT 060889547 | 8602545127 | 8602545254 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | EASTERN SERVICES & CAMP SIMON LLC | 115 Bridge St, East Windsor, CT 06088 |
| Street Address |
82 MAIN ST |
| City | WINDSOR LOCKS |
| State | CT |
| Zip Code | 06096-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403874 | David Gallagher | Social Worker | 82 Main St, Windsor Locks, CT 06096-2325 | 2019-12-05 |
| 1821156498 | Phouangmaly Phimvongsa | Counselor | 82 Main St, Windsor Locks, CT 06096-2325 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801912415 | Robert W. Zebrowski | Dentist | 2 Foxwood Drive, Windsor Locks, CT 06096 | 2007-03-22 |
| 1326198110 | Len Sullivan | Physician Assistant | Rte 75 Aasf Bldge 154, Windsor Locks, CT 06096 | 2007-01-12 |
| 1356433486 | Windsor Locks Medical Center, LLP | Family Medicine | 73 Old County Road, Windsor Locks, CT 06096 | 2006-09-28 |
| 1043434764 | Laura J Holden-zebrowski | Dentist | 2 Foxwood Drive, Windsor Locks, CT 06096 | 2007-04-12 |
| 1467578070 | Robert W. Zebrowski, D.m.d., L.L.C. | Dentist | 2 Foxwood Drive, Windsor Locks, CT 06096 | 2007-03-22 |
| 1760446025 | Sheldon Kafer | Legal Medicine | 2 Concorde Way, #2, Windsor Locks, CT 06096 | 2006-04-13 |
| 1851403356 | Joanne M Sanborn | Physical Therapist | 1 Hamilton Rd, Medical Department, Ms 1-1-bc38, Windsor Locks, CT 06096-1000 | 2006-08-31 |
| 1285735308 | New England Physical Therapy Services, P.C. | Physical Therapist | 1 Hamilton Rd, Medical Dept., 1-1-bc38, Windsor Locks, CT 06096-1000 | 2006-09-25 |
| 1750646444 | Hollee L Schneider | Massage Therapist | 545 Spring St, Windsor Locks, CT 06096-1106 | 2012-07-09 |
| 1346504396 | Schneider's Inc | Massage Therapist | 545 Spring St, Windsor Locks, CT 06096-1106 | 2012-06-25 |
| Find all providers in zip 06096 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225013 | Madison Kathleen Reimondo | Counselor | 185 Silas Deane Hwy Ste 2, Wethersfield, CT 06109-1219 | 2020-11-06 |
| 1336740935 | Art Therapy Explorations LLC | Counselor | 23 Temple St, New Haven, CT 06510-2714 | 2020-11-02 |
| 1992303853 | Steps Counseling LLC | Counselor | 182 Candlewyck Dr, Newington, CT 06111-5229 | 2020-10-13 |
| 1578170965 | Elizabeth Ferguson | Counselor | 183 Montowese St Ste G, Branford, CT 06405-3869 | 2020-09-29 |
| 1912514605 | Well Beyond Counseling Pllc | Counselor | 2 Tunxis Rd Ste 201, Tariffville, CT 06081-9687 | 2020-09-26 |
| 1033725510 | Bianca Mcdaniel | Counselor | 1652 Meriden Rd Apt 22, Waterbury, CT 06705-3922 | 2020-09-20 |
| 1639784358 | Laura Sanford | Counselor | 107 Godek Hill Rd, Meriden, CT 06451-5081 | 2020-09-10 |
| 1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
| 1548874092 | Catherine Kimball | Counselor | 386 Cotton Hill Rd, New Hartford, CT 06057-3402 | 2020-09-02 |
| 1871106674 | Mindful Vision Counseling | Counselor | 304 W Main St Ste 21057, Avon, CT 06001-4355 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR LOCKS |
| Zip Code | 06096 |
Please comment or provide details below to improve the information on EASTERN SERVICES & CAMP SIMON LLC.
| 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.