Provider Demographics
NPI:1528730421
Name:CORE CONCEPTS THERAPEUTIC SERVICES
Entity type:Organization
Organization Name:CORE CONCEPTS THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAUNA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-808-8152
Mailing Address - Street 1:12 SPINDLE HILL RD APT 8G
Mailing Address - Street 2:
Mailing Address - City:WOLCOTT
Mailing Address - State:CT
Mailing Address - Zip Code:06716-1743
Mailing Address - Country:US
Mailing Address - Phone:203-808-8152
Mailing Address - Fax:
Practice Address - Street 1:12 SPINDLE HILL RD APT 8G
Practice Address - Street 2:
Practice Address - City:WOLCOTT
Practice Address - State:CT
Practice Address - Zip Code:06716-1743
Practice Address - Country:US
Practice Address - Phone:203-808-8152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health