Provider Demographics
NPI:1306580519
Name:TUS NUA COUNSELING LLC
Entity type:Organization
Organization Name:TUS NUA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAMPERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-729-6652
Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06035-0565
Mailing Address - Country:US
Mailing Address - Phone:860-729-6652
Mailing Address - Fax:
Practice Address - Street 1:44 DALE RD STE 303
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-4351
Practice Address - Country:US
Practice Address - Phone:620-407-7290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-24
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health