JESSICA MARKS, LPC LLC


Address: 280 Main St # C, New Hartford, CT 06057-2748
Phone: 8604855536

JESSICA MARKS, LPC LLC (NPI# 1033638457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033638457
Entity Type Organization
Organization Name JESSICA MARKS, LPC LLC
Practice Address 280 Main St # C
New Hartford
CT 06057-2748
Mailing Address 360 Riverton Rd
Riverton
CT 06065-1102
Practice Telephone 8604855536
Mailing Telephone 8604855536
Enumeration Date 2017-09-18
Last Update Date 2017-09-18
Authorized Official Name MS. JESSICA MARKS (SOLE PROPRIETOR)
Authorized Official Telephone 8604855536
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 280 MAIN ST # C
City NEW HARTFORD
State CT
Zip Code 06057-2748

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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780195339 Rachel Collins, Lpc Clinic/Center 410 State St Rm 1, North Haven, CT 06473-3149 2017-10-22
1376054148 Joann Flynn LLC. Clinic/Center 3 Swanswood Ln, Old Lyme, CT 06371-1867 2017-10-19
1942723036 Kellys Kids, Inc Clinic/Center 9 Spring Rd, Prospect, CT 06712-1522 2017-07-20
1295256840 B.e.a.u.t.y, LLC Clinic/Center 824 Main St Ste F, Manchester, CT 06040-6048 2017-07-05
1518413442 Community Partners In Action Clinic/Center 995 Sherman Ave, Hamden, CT 06514-1144 2016-08-31
1952760803 Darbonshire, LLC Clinic/Center 304 Wahackme Rd, New Canaan, CT 06840-3936 2016-02-21
1760738025 Psychologist Adriana L Gonzalez Phd Pllc Clinic/Center 85 Hillcrest Terrace, Meriden, CT 06450 2012-07-24
1497025035 Ct Clinical Services, Inc. Clinic/Center 189 Orange St, New Haven, CT 06510-2014 2012-01-12
1093950032 Yale Parenting and Child Conduct Clinic Clinic/Center 314 Prospect St, New Haven, CT 06511-2187 2008-12-04
1710185731 Waterford Country School, Inc. Clinic/Center 78 Hunts Brook Rd, Quaker Hill, CT 06375-1009 2007-07-11
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Competitor

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City NEW HARTFORD
Zip Code 06057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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