| Black Rock Counseling Llc | |
|
46 Bunnell Cir Fairfield CT 06825-2615 | |
| (203) 209-2068 | |
| Not Available |
| Full Name | Black Rock Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 46 Bunnell Cir, Fairfield, Connecticut |
| Authorized Official Name and Position | Harvey Michael Paris (PRESIDENT) |
| Authorized Official Contact | 2032092068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Rock Counseling Llc 2490 Black Rock Tpke # 454 Fairfield CT 06825-2400 Ph: (203) 209-2068 | Black Rock Counseling Llc 46 Bunnell Cir Fairfield CT 06825-2615 Ph: (203) 209-2068 |
| NPI Number | 1366113375 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 09/21/2021 |
| Certification Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366113375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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