LETHA DALINE DUDLEY (NPI# 1649351891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649351891 |
| Entity Type | Individual |
| Full Name | LETHA DALINE DUDLEY |
| Credential | LCSW |
| Practice Address |
61 Trotters Way Torrington CT 06790-2364 |
| Mailing Address |
1207 Lenham Ct Sun City Center FL 33573-6312 |
| Practice Telephone | 8604890938 |
| Mailing Telephone | 8604968312 |
| Mailing Fax Number | 8604969748 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
002510 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004168771 | 05 |
| Street Address |
61 TROTTERS WAY |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467726513 | Wendy Ann George | Counselor | 110 W 22nd Ave, Torrington, WY 82240-7778 | 2012-03-06 |
| 1033105705 | New Hope Counseling | Counselor | 136 W 21st Ave, Torrington, WY 82240-2721 | 2005-09-27 |
| 1629075734 | Charlotte Hungerford Hospital | Counselor | 540 Litchfield St, Torrington, CT 06790 | 2005-07-05 |
| 1013556786 | Jodee Mendez | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2019-12-30 |
| 1649829565 | Jessica Laura Parsons | Counselor | 1765 W C St, Torrington, WY 82240-3215 | 2019-09-04 |
| 1861981003 | Tarmattie M Singh | Counselor | 387 Litchfield St, Torrington, CT 06790-6602 | 2018-05-03 |
| 1861995433 | Tracy Lynette Pannunzio | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2018-03-09 |
| 1720511959 | Breann Beardslee | Counselor | 132 Grove St, Torrington, CT 06790-5047 | 2017-04-05 |
| 1538529276 | Marylou Salomon | Counselor | 136 W 21st Ave, Torrington, WY 82240-2721 | 2016-02-23 |
| 1336515568 | Jeanette Epps | Counselor | 30 Peck Rd Ste 2203, Torrington Clinical Services, Torrington, CT 06790-6123 | 2015-08-11 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
Please comment or provide details below to improve the information on LETHA DALINE DUDLEY.
| 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.