Provider Demographics
NPI:1083236277
Name:CLIMBING OUT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CLIMBING OUT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:SIMONE
Authorized Official - Last Name:WILFRED
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-785-3449
Mailing Address - Street 1:998 FARMINGTON AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2184
Mailing Address - Country:US
Mailing Address - Phone:860-785-3449
Mailing Address - Fax:
Practice Address - Street 1:998 FARMINGTON AVE STE 104
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2184
Practice Address - Country:US
Practice Address - Phone:860-785-3449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty