INNER PEACE PSYCHOTHERAPY, LLC
NPI 1023425964
Counselor - Professional in East Windsor, CT

Active since July 11, 2014
9A PASCO DR, EAST WINDSOR, CT 06088(860) 977-6272 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About INNER PEACE PSYCHOTHERAPY, LLC

This page provides the complete NPI Profile along with additional information for Inner Peace Psychotherapy, Llc, a provider established in East Windsor, Connecticut operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1023425964 assigned on July 2014. The practitioner's primary taxonomy code is 101YP2500X with license number 2570 (CT). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Kelly Marie Porter (Psychotherapist Lpc)

NPI
1023425964 Verify this NPI
Provider Name
INNER PEACE PSYCHOTHERAPY, LLC
Entity Type
Organization
Location Address
9A PASCO DR EAST WINDSOR, CT 06088
Location Phone
(860) 977-6272
Mailing Address
63 FOSTER LN WINDSOR, CT 06095
Mailing Phone
(860) 977-6272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2014
Last Update Date
07-11-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
2570
License State
CT

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KELLY MARIE PORTER

Authorized Official Title
PSYCHOTHERAPIST LPC
Authorized Official Phone
(860) 977-6272

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
9A PASCO DR
EAST WINDSOR, CT 06088
Clinic/Center (Mental Health (Including Community Mental Health Center))
9A PASCO DR
EAST WINDSOR, CT 06088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023425964, enumerated as an "organization" on July 11, 2014.

The provider is located at 9A PASCO DR EAST WINDSOR, CT 06088 and the phone number is (860) 977-6272.

Counselor with taxonomy code 101YP2500X and a focus in Professional.