Organization
ELM CITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ROBERT RIERA LCSW (OWNER)
(203) 675-3856
Entity
Organization
Contact information
Practice address
157 CHURCH ST # 1918, NEW HAVEN, CT 06510-2100
(203) 675-3856
Mailing address
91 KNEELAND RD, NEW HAVEN, CT 06512-5008
(203) 675-3856
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750768289
—
CT
Enumeration date
09/20/2018
Last updated
09/20/2018
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