Provider Demographics
NPI:1477233286
Name:PURPLE HIPPO COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:PURPLE HIPPO COUNSELING SERVICES, LLC
Other - Org Name:PURPLE HIPPO COUNSELING SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:NILDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:860-764-3525
Mailing Address - Street 1:1166 BARNUM AVE
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4943
Mailing Address - Country:US
Mailing Address - Phone:860-764-3525
Mailing Address - Fax:203-522-5174
Practice Address - Street 1:1166 BARNUM AVE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4943
Practice Address - Country:US
Practice Address - Phone:860-764-3525
Practice Address - Fax:203-522-5174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty