Provider Demographics
NPI:1003489410
Name:KARDOS COUNSELING LLC
Entity Type:Organization
Organization Name:KARDOS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:JEANNETTE
Authorized Official - Last Name:KARDOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-414-5655
Mailing Address - Street 1:75 RIVER BEND RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-8092
Mailing Address - Country:US
Mailing Address - Phone:203-414-5655
Mailing Address - Fax:
Practice Address - Street 1:75 RIVER BEND RD UNIT D
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-8092
Practice Address - Country:US
Practice Address - Phone:203-414-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty