Provider Demographics
NPI:1114214673
Name:RANCOURT COUNSELING, LLC
Entity Type:Organization
Organization Name:RANCOURT COUNSELING, LLC
Other - Org Name:NEW MILFORD COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:GLORIA
Authorized Official - Last Name:WADE-RANCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-740-2228
Mailing Address - Street 1:41 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3507
Mailing Address - Country:US
Mailing Address - Phone:860-740-2228
Mailing Address - Fax:860-254-7256
Practice Address - Street 1:41 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3507
Practice Address - Country:US
Practice Address - Phone:860-740-2228
Practice Address - Fax:860-254-7256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 1041C0700X, 106H00000X
CT0057731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty