BLACK QUIN LLC
NPI 1144985250
Counselor - Professional in Stratford, CT

Active since November 03, 2021
1355 NICHOLS AVE, STRATFORD, CT 06614(203) 892-2921 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Jun 23, 2023, Nov 3, 2021 (3 updates tracked since 2021).

About Black Quin Llc NPPES

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

BLACK QUIN LLC (NPI 1144985250) is a healthcare organization registered as a professional in Stratford, Connecticut and active in the NPI registry since November 2021. The organization lists Autumn Wright, Owner, as its authorized official.

NPPES Registry Identity

NPI1144985250
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLACK QUIN LLC
Location Address1355 NICHOLS AVEStratford, CT 06614-2627
Mailing Address1355 Nichols AveStratford, CT 06614-2627 · (203) 892-2921
Organization SubpartNo
Authorized OfficialAutumn WrightOwner · (203) 892-2921
Enumeration DateNovember 3, 2021
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1144985250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1355 NICHOLS AVE, Stratford, CT 06614

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 NPPES & CMS

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

What is Black Quin LLC's NPI number?

The NPI number for Black Quin LLC is 1144985250. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Black Quin LLC located?

Black Quin LLC is located at 1355 Nichols Ave, Stratford, CT 06614. The listed phone number is (203) 892-2921.

What is Black Quin 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 Black Quin LLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.