Organization
FAMILY COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP SCOTT LAFEMINA I L.C.S.W. (SOLE MEMBER)
(860) 564-2323
Entity
Organization
Contact information
Practice address
50 ACADEMY HILL RD, PLAINFIELD, CT 06374-1600
(860) 564-2323
(860) 564-2696
Mailing address
50 ACADEMY HILL RD, P.O. BOX 194, PLAINFIELD, CT 06374-1600
(860) 564-2323
(860) 564-2696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003808
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004209575
—
CT
Enumeration date
12/17/2013
Last updated
08/19/2014
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