Organization
SEVI CARES CT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIZELLE FLORES (CREDENTIALING MANAGER)
(860) 944-4766
Entity
Organization
Contact information
Practice address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 931-0034
Mailing address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 931-0034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
02/11/2025
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