MARY KINSELLA-SHAW LLC
NPI 1013554518
Counselor - Professional in Mansfield Center, CT
Active since December 03, 2019
About Mary Kinsella-shaw Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KINSELLA-SHAW LLC (NPI 1013554518) is a healthcare organization registered as a professional in Mansfield Center, Connecticut and active in the NPI registry since December 2019. The organization lists Bonnilyn Telesca, Biller, as its authorized official.
NPPES Registry Identity
NPI1013554518
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMARY KINSELLA-SHAW LLC
Location Address31 WARRENVILLE RDMansfield Center, CT 06250-1260
Mailing Address31 Warrenville RdMansfield Center, CT 06250-1260 · (860) 450-1173
Phone(860) 450-1173
Organization SubpartNo
Authorized OfficialBonnilyn TelescaBiller · (203) 668-1613
Enumeration DateDecember 3, 2019
✔ NPI 1013554518 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
31 WARRENVILLE RD, Mansfield Center, CT 06250
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013554518, enumerated as an "organization" on December 03, 2019.
The provider is located at 31 WARRENVILLE RD MANSFIELD CENTER, CT 06250 and the phone number is (860) 450-1173.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
