Provider Demographics
NPI:1407452386
Name:FROM NOW BECOME, LLC
Entity Type:Organization
Organization Name:FROM NOW BECOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOYOSORE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUPAU MICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-496-2074
Mailing Address - Street 1:61 ROCK SPRING ROAD
Mailing Address - Street 2:#36
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06906
Mailing Address - Country:US
Mailing Address - Phone:203-496-2074
Mailing Address - Fax:
Practice Address - Street 1:61 ROCK SPRING ROAD
Practice Address - Street 2:#36
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06906
Practice Address - Country:US
Practice Address - Phone:203-496-2074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty