Organization
GJ HARBILAS LCSW COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J HARBILAS LCSW (OWNER)
(203) 557-9333
Entity
Organization
Contact information
Practice address
728 POST RD E, SUITE 205, WESTPORT, CT 06880-5200
(203) 557-9333
(203) 557-9332
Mailing address
728 POST RD E, SUITE 205, WESTPORT, CT 06880-5200
(203) 557-9333
(203) 557-9332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005729
CT
305R00000X
Preferred Provider Organization
005729
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770756934
APPLICATION FOR NPI 2 PRIVATE PRACTICE
CT
Enumeration date
04/22/2015
Last updated
05/30/2015
Update your record
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