Whalio Doctors

NPI 1689071417

Stallworth Counseling Services,llc

Organisation Community/Behavioral Health Agency Waterbury, CT

Practice location

Address
77 Chapman Ave Fl 3, Waterbury, CT 06710-1309
Phone
(203) 568-5662
Mailing address
12 Snow Crystal Rd, Naugatuck, CT 06770-3527

Authorised official

Name
Marcus a Stallworth
Title
Owner
Phone
(203) 568-5662

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1689071417
Entity type
Organization
NPI issued
21 Nov 2014
Record last updated
21 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.