Provider Demographics
NPI:1104217637
Name:BEYOND AUTISM COUNSELING SERVICES AND SUPPORTIVE GUIDANCE
Entity Type:Organization
Organization Name:BEYOND AUTISM COUNSELING SERVICES AND SUPPORTIVE GUIDANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:HULIEN
Authorized Official - Suffix:
Authorized Official - Credentials:MED,NCC, LPC
Authorized Official - Phone:860-808-9177
Mailing Address - Street 1:109 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1861
Mailing Address - Country:US
Mailing Address - Phone:860-808-9177
Mailing Address - Fax:860-267-4498
Practice Address - Street 1:85 BROADWAY STREET
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415
Practice Address - Country:US
Practice Address - Phone:860-808-9177
Practice Address - Fax:860-267-4498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001637251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health