Provider Demographics
NPI:1043684145
Name:CATALYST COUNSELING OF CONNECTICUT
Entity Type:Organization
Organization Name:CATALYST COUNSELING OF CONNECTICUT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:860-550-1490
Mailing Address - Street 1:9 COVEY RD
Mailing Address - Street 2:2AF
Mailing Address - City:BURLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06013-1720
Mailing Address - Country:US
Mailing Address - Phone:860-550-1490
Mailing Address - Fax:
Practice Address - Street 1:9 COVEY RD
Practice Address - Street 2:2AF
Practice Address - City:BURLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06013-1720
Practice Address - Country:US
Practice Address - Phone:860-550-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-30
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001166101YA0400X, 261QR0405X
CT2901101YP2500X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty