ELIZABETH DOMACK LLC
NPI 1013558022
Counselor - Professional in Milford, CT

Active since October 01, 2019
57 PLAINS RD STE 3C, MILFORD, CT 06461(860) 309-8334 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Domack Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH DOMACK LLC (NPI 1013558022) is a healthcare organization registered as a professional in Milford, Connecticut and active in the NPI registry since October 2019. The organization lists Elizabeth Domack, Owner, as its authorized official.

NPPES Registry Identity

NPI1013558022
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameELIZABETH DOMACK LLC
Location Address57 PLAINS RD STE 3CMilford, CT 06461-2573
Mailing Address18 Rimmon RdWoodbridge, CT 06525-2002
Organization SubpartNo
Authorized OfficialElizabeth DomackOwner · (860) 309-8334
Enumeration DateOctober 1, 2019
NPI 1013558022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
57 PLAINS RD STE 3C, Milford, CT 06461

Other Identifiers 1

Medicaid1225405152CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
57 PLAINS RD STE 3C
MILFORD, CT 06461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Domack LLC's NPI number?

The NPI number for Elizabeth Domack LLC is 1013558022. It was assigned to this organization in the NPPES registry on October 1, 2019.

Where is Elizabeth Domack LLC located?

Elizabeth Domack LLC is located at 57 Plains Rd Ste 3C, Milford, CT 06461. The listed phone number is (860) 309-8334.

What is Elizabeth Domack LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Elizabeth Domack LLC was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.