ALEXANDER ROBERT BRACK


Address: 25 Housatonic Ave, Milford, CT 06460-3417
Phone: 2036931811

ALEXANDER ROBERT BRACK (NPI# 1992326144) 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) 1992326144
Entity Type Individual
Full Name ALEXANDER ROBERT BRACK
Credential LPC
Practice Address 25 Housatonic Ave
Milford
CT 06460-3417
Practice Telephone 2036931811
Enumeration Date 2020-04-29
Last Update Date 2020-04-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
000696 CT Behavioral Health & Social Service Providers

Office Location

Street Address 25 HOUSATONIC AVE
City MILFORD
State CT
Zip Code 06460-3417

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1619354446 Stephanie Meoli Occupational Therapist 195 Platt Street, Milford, CT 06460 2015-04-30
1588069298 Elizabeth Laliberte Counselor 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 2014-10-24
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1497219547 Hopewell Therapy LLC. Counselor 57 Plains Rd Ste 2c1, Milford, CT 06461-2589 2019-01-23
1619441672 Holly Vitko Counselor 56 Alden Pl, Milford, CT 06460-4510 2019-01-14
1285105601 Macharia Psychotherapy Servicces, LLC Counselor 59 Kent St, Milford, CT 06461-2949 2018-12-11
1437625936 Psychotherapy Practice of Victoria Hall, LLC Counselor 31 Cherry St Ste 101, Milford, CT 06460-3465 2018-10-23
1386127132 Ashley Dascola, LLC Counselor 57 Plains Rd Ste 1a, Milford, CT 06461-2573 2018-09-07
1184102808 Mark Francis Cesaroni Counselor 125 Welchs Point Rd, Milford, CT 06460-7301 2018-08-03
1316436207 Melonie K Bland Counselor 25 Robert St, Milford, CT 06461-4052 2018-05-07
1225542251 Julia Vicars Counselor 4 Oxford Rd Ste C1, Milford, CT 06460-3854 2017-11-29
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Competitor

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City MILFORD
Zip Code 06460

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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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