Provider Demographics
NPI:1902906886
Name:S.A.P. SERVICES, LLC.
Entity Type:Organization
Organization Name:S.A.P. SERVICES, LLC.
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:F A
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD, LADC, SAP
Authorized Official - Phone:860-478-5399
Mailing Address - Street 1:9 LEDYARD AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3353
Mailing Address - Country:US
Mailing Address - Phone:860-478-5399
Mailing Address - Fax:860-298-0855
Practice Address - Street 1:9 LEDYARD AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3353
Practice Address - Country:US
Practice Address - Phone:860-478-5399
Practice Address - Fax:860-904-9197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000343101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT300000343CT09OtherBLUECARE HEALTH PLAN
CT2063285OtherCIGNA BEHAVIORAL HEALTH
CT300000343CT02OtherBLUECARE HEALTH PLAN
CT300000343CT11OtherFEDERAL EMPLOYEE PLAN
CT300000343CT10OtherCENTURY 90 AND BLUECARD T