Provider Demographics
NPI:1679338628
Name:PIVOT TURN MOVE
Entity Type:Organization
Organization Name:PIVOT TURN MOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER-MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:475-238-3509
Mailing Address - Street 1:107 DWIGHT ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-4501
Mailing Address - Country:US
Mailing Address - Phone:475-238-3509
Mailing Address - Fax:
Practice Address - Street 1:555 HIGHLAND AVE OFC 26
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2255
Practice Address - Country:US
Practice Address - Phone:475-238-3509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty