Organization
OMATA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MORGAN ANN AJELLO LPC, NCC (OWNER)
(860) 334-5900
Entity
Organization
Contact information
Practice address
1 FELLOWS RD APT 47, OAKDALE, CT 06370-1624
(860) 334-5900
Mailing address
1 FELLOWS RD APT 47, OAKDALE, CT 06370-1624
(860) 334-5900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
46.003444
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46.003444
—
CT
Enumeration date
05/08/2018
Last updated
06/01/2023
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