Provider Demographics
| NPI: | 1912437575 |
|---|---|
| Name: | ALL WITHIN, LLC |
| Entity type: | Organization |
| Organization Name: | ALL WITHIN, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER, PSYCHOTHERAPIST |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JANET |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PETERSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LCSW |
| Authorized Official - Phone: | 855-937-8748 |
| Mailing Address - Street 1: | 45 OLD SMITH ROAD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NORTHFIELD |
| Mailing Address - State: | CT |
| Mailing Address - Zip Code: | 06778 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 203-727-1272 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 82 MEADOW ST |
| Practice Address - Street 2: | |
| Practice Address - City: | LITCHFIELD |
| Practice Address - State: | CT |
| Practice Address - Zip Code: | 06759-3505 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 855-937-8748 |
| Practice Address - Fax: | 855-937-8748 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-06-15 |
| Last Update Date: | 2017-06-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CT | 006864 | 1041C0700X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |