Provider Demographics
NPI:1932063245
Name:ATLAS COUNSELING LLC
Entity type:Organization
Organization Name:ATLAS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANIFOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-212-9169
Mailing Address - Street 1:200 ELM ST APT 314
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-4665
Mailing Address - Country:US
Mailing Address - Phone:203-212-9169
Mailing Address - Fax:475-306-6786
Practice Address - Street 1:200 ELM ST APT 314
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-4665
Practice Address - Country:US
Practice Address - Phone:203-212-9169
Practice Address - Fax:475-306-6786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-11
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty