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EASTERN SERVICES & CAMP SIMON, LLC
NPI 1902173370
Counselor - Professional in East Windsor, CT

Active since November 29, 2011
115 BRIDGE ST, SUITE C, EAST WINDSOR, CT 06088(860) 254-5127(860) 254-5254 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Services & Camp Simon, Llc NPPES

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

EASTERN SERVICES & CAMP SIMON, LLC (NPI 1902173370) is a healthcare organization registered as a professional in East Windsor, Connecticut and active in the NPI registry since November 2011. The organization lists Maly Phimvongsa, Director, as its authorized official.

NPPES Registry Identity

NPI1902173370
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameEASTERN SERVICES & CAMP SIMON, LLC
Location Address115 BRIDGE ST, SUITE CEast Windsor, CT 06088-9547
Mailing Address115 Bridge St, Suite CEast Windsor, CT 06088-9547 · (860) 254-5127 · Fax (860) 254-5254
Phone(860) 254-5127
Fax(860) 254-5254
Organization SubpartNo
Authorized OfficialMaly PhimvongsaDirector · (860) 254-5127
Enumeration DateNovember 29, 2011
Last NPPES UpdateFebruary 11, 2020
✔ NPI 1902173370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 001470
115 BRIDGE ST, East Windsor, CT 06088
Open in Google Maps ↗

Other Identifiers 1

Medicaid004257053CT

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

Other Providers at the Same Location NPPES

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

LOUISE RUEL LPCA
Counselor (Professional)
115 BRIDGE ST
EAST WINDSOR, CT 06088
Capitol Planning Region (860) 254-5127

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 Eastern Services & Camp Simon, LLC's NPI number?

The NPI number for Eastern Services & Camp Simon, LLC is 1902173370. It was assigned to this organization in the NPPES registry on November 29, 2011.

Where is Eastern Services & Camp Simon, LLC located?

Eastern Services & Camp Simon, LLC is located at 115 Bridge St Suite C, East Windsor, CT 06088. The listed phone number is (860) 254-5127.

What is Eastern Services & Camp Simon, 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 Eastern Services & Camp Simon, LLC was last updated on February 11, 2020. 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.