Provider Demographics
NPI:1316405947
Name:KV TRAINING AND CONSULTATION LLC
Entity Type:Organization
Organization Name:KV TRAINING AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYISHA
Authorized Official - Middle Name:KIA
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-433-2690
Mailing Address - Street 1:459 ORANGE ST # 1
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6202
Mailing Address - Country:US
Mailing Address - Phone:203-433-2690
Mailing Address - Fax:086-665-1716
Practice Address - Street 1:459 ORANGE ST # 1
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6202
Practice Address - Country:US
Practice Address - Phone:203-433-2690
Practice Address - Fax:086-665-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health