THE SACRED SELF, LLC (NPI# 1104227685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104227685 |
| Entity Type | Organization |
| Organization Name | THE SACRED SELF, LLC |
| Practice Address |
171 Market Sq Suite 102 Newington CT 06111-2927 |
| Practice Telephone | 8606148382 |
| Practice Fax Number | 8605615394 |
| Mailing Telephone | 8606148382 |
| Mailing Fax Number | 8605615394 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | CHARLEEN K MIELE (OWNER) |
| Authorized Official Telephone | 8606148382 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002593 | CT | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | THE SACRED SELF, LLC | 800 Washington Street, Suite 2, Canton, MA 02021 |
| Street Address |
171 MARKET SQ SUITE 102 |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912059676 | Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 171 Market Sq, Suite 210, Newington, CT 06111-2927 | 2007-01-16 |
| 1265706162 | R & S Counseling LLC | Counselor | 171 Market Sq, Suite 202, Newington, CT 06111-2927 | 2012-02-24 |
| 1548537996 | Charleen K Miele | Counselor | 171 Market Sq, Suite 102, Newington, CT 06111-2927 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
| 1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
| 1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
| 1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
| 1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
| 1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
| 1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
| 1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
| 1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
| 1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
| Find all providers in zip 06111 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303853 | Steps Counseling LLC | Counselor | 182 Candlewyck Dr, Newington, CT 06111-5229 | 2020-10-13 |
| 1265930572 | Sandra Ann Coakley | Counselor | 128 Carriage Hill Dr, Newington, CT 06111-2006 | 2018-02-01 |
| 1740690692 | Ramon Apellaniz | Counselor | 705 N Mountain Rd Ste A-118, Newington, CT 06111-1412 | 2014-04-30 |
| 1326388257 | Jeffrey Ambroise | Counselor | 1268 Main St Ste 106, Newington, CT 06111-3043 | 2013-03-01 |
| 1487960662 | Justine Wallace | Counselor | 419 Cedar St, Newington, CT 06111-1812 | 2010-08-25 |
| 1437297975 | Beverly Shoenberger | Counselor | 221 Kimberley Rd, Newington, CT 06111-1626 | 2007-02-04 |
| 1710059167 | Joan-alice Taylor | Counselor | 9 Elmwood Ct, Newington, CT 06111-1401 | 2006-11-14 |
| 1215020870 | Town of Newington | Counselor | 131 Cedar Street, Newington, CT 06111 | 2006-10-02 |
| 1962519629 | Ada G. Rodriguez | Counselor | 100 Market Sq Ste 14, Newington, CT 06111-2921 | 2006-08-25 |
| 1104425438 | Truth, LLC | Counselor | 66 Cedar St, Newington, CT 06111-2633 | 2020-10-19 |
| Find all providers in NEWINGTON | ||||
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| 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.