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THERESA MAMIE CHARLES I
NPI 1255769576
Counselor - Addiction (Substance Use Disorder) in Groton, CT

Active since October 23, 2013
542 LONGHILL ROAD, GROTON, CT 06340(866) 448-4993 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Mamie Charles I NPPES

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

THERESA MAMIE CHARLES I (NPI 1255769576) is an individual addiction (substance use disorder) provider in Groton, Connecticut, licensed in Connecticut (060886125) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1255769576
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTHERESA MAMIE CHARLES I
Location Address542 LONGHILL ROADGroton, CT 06340
Mailing Address542 Long Hill RdGroton, CT 06340-4108 · (860) 448-4993
Phone(866) 448-4993
Sole ProprietorYes
Enumeration DateOctober 23, 2013
✔ NPI 1255769576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · 060886125
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 060886125
542 LONGHILL ROAD, Groton, CT 06340
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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 Theresa Charles's NPI number?

The NPI number for Theresa Charles is 1255769576. It was assigned to this individual provider in the NPPES registry on October 23, 2013.

Where is Theresa Charles located?

Theresa Charles practices at 542 Longhill Road, Groton, CT 06340. The listed phone number is (866) 448-4993.

What is Theresa Charles's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theresa Charles was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.