Provider Demographics
NPI:1487077038
Name:FRESH VOICE COUNSELING, LLC
Entity type:Organization
Organization Name:FRESH VOICE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:ATHELA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIBILIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-794-4707
Mailing Address - Street 1:14 DEPOT PL
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-2540
Mailing Address - Country:US
Mailing Address - Phone:203-794-4707
Mailing Address - Fax:877-812-4247
Practice Address - Street 1:14 DEPOT PL
Practice Address - Street 2:SUITE 7
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-2540
Practice Address - Country:US
Practice Address - Phone:203-794-4707
Practice Address - Fax:877-812-4247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8547302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization