Provider Demographics
NPI:1386200749
Name:FRANCIS BERARDI LADC, LLC
Entity Type:Organization
Organization Name:FRANCIS BERARDI LADC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:XAVIER
Authorized Official - Last Name:BERARDI
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:203-529-1510
Mailing Address - Street 1:1140 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4916
Mailing Address - Country:US
Mailing Address - Phone:203-529-1510
Mailing Address - Fax:954-278-7064
Practice Address - Street 1:2505 MAIN ST STE 229
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-5839
Practice Address - Country:US
Practice Address - Phone:203-529-1510
Practice Address - Fax:954-278-7064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-11
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty