MS. MARLA S. SLACK (NPI# 1932308061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932308061 |
| Entity Type | Individual |
| Full Name | MS. MARLA S. SLACK |
| Credential | LPC |
| Practice Address |
300 Church St Yalesville CT 06492-2253 |
| Practice Telephone | 8604161464 |
| Mailing Telephone | 8604161464 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2013-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
001271 | CT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
001271 | CT | Behavioral Health & Social Service Providers |
| Street Address |
300 CHURCH ST |
| City | YALESVILLE |
| State | CT |
| Zip Code | 06492-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047045 | Alternative Paths Counseling, LLC | Marriage & Family Therapist | 300 Church St, Yalesville, CT 06492-2253 | 2017-11-30 |
| 1114357621 | Michelle Esposito | Counselor | 300 Church St, Yalesville, CT 06492-2253 | 2013-11-19 |
| 1235575416 | Evan D Mcclure | Counselor | 300 Church St, Suite 202, Yalesville, CT 06492-2253 | 2013-05-15 |
| 1003168360 | Silvia Sandoval, Lcsw | Social Worker | 300 Church St, Ste.202, Yalesville, CT 06492-2253 | 2012-10-11 |
| 1356657282 | Kathryn S Cygler | Social Worker | 300 Church St, Yalesville, CT 06492-2253 | 2010-08-30 |
| 1053515213 | Melinda E. Sharpe | Social Worker | 300 Church St, Yalesville, CT 06492-2253 | 2007-06-12 |
| 1437363264 | Leif Edward Washer | Dentist | 300 Church St, Yalesville, CT 06492-2253 | 2007-05-10 |
| 1033249826 | David G Glazer | Dentist | 300 Church St, Yalesville, CT 06492-2253 | 2007-03-07 |
| 1528103793 | Stephanie Stopper | Marriage & Family Therapist | 300 Church St, Yalesville, CT 06492-2253 | 2007-02-21 |
| 1295844215 | Ellice Rosoff | Social Worker | 300 Church St, Ste 202, Yalesville, CT 06492-2253 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114357621 | Michelle Esposito | Counselor | 300 Church St, Yalesville, CT 06492-2253 | 2013-11-19 |
| 1235575416 | Evan D Mcclure | Counselor | 300 Church St, Suite 202, Yalesville, CT 06492-2253 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225013 | Madison Kathleen Reimondo | Counselor | 185 Silas Deane Hwy Ste 2, Wethersfield, CT 06109-1219 | 2020-11-06 |
| 1336740935 | Art Therapy Explorations LLC | Counselor | 23 Temple St, New Haven, CT 06510-2714 | 2020-11-02 |
| 1992303853 | Steps Counseling LLC | Counselor | 182 Candlewyck Dr, Newington, CT 06111-5229 | 2020-10-13 |
| 1578170965 | Elizabeth Ferguson | Counselor | 183 Montowese St Ste G, Branford, CT 06405-3869 | 2020-09-29 |
| 1912514605 | Well Beyond Counseling Pllc | Counselor | 2 Tunxis Rd Ste 201, Tariffville, CT 06081-9687 | 2020-09-26 |
| 1033725510 | Bianca Mcdaniel | Counselor | 1652 Meriden Rd Apt 22, Waterbury, CT 06705-3922 | 2020-09-20 |
| 1639784358 | Laura Sanford | Counselor | 107 Godek Hill Rd, Meriden, CT 06451-5081 | 2020-09-10 |
| 1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
| 1548874092 | Catherine Kimball | Counselor | 386 Cotton Hill Rd, New Hartford, CT 06057-3402 | 2020-09-02 |
| 1871106674 | Mindful Vision Counseling | Counselor | 304 W Main St Ste 21057, Avon, CT 06001-4355 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | YALESVILLE |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on MS. MARLA S. SLACK.
| 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.