NPI 1689071417
Stallworth Counseling Services,llc
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
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.