Organization
UNVEIL SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY LANGSTON LPC (CLINICIAN)
(203) 506-2658
Entity
Organization
Contact information
Practice address
21 MERRITT AVE APT 2, WOODBRIDGE, CT 06525-2336
(203) 909-9665
Mailing address
1204 MAIN ST # 927, BRANFORD, CT 06405-3787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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