Provider Demographics
NPI:1730487497
Name:SILVANA SCELFO LPC, LLC
Entity Type:Organization
Organization Name:SILVANA SCELFO LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SILVANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCELFO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-265-2028
Mailing Address - Street 1:27 QUALITY AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:SOMERS
Mailing Address - State:CT
Mailing Address - Zip Code:06071-1801
Mailing Address - Country:US
Mailing Address - Phone:860-265-2028
Mailing Address - Fax:860-265-2394
Practice Address - Street 1:27 QUALITY AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:SOMERS
Practice Address - State:CT
Practice Address - Zip Code:06071-1801
Practice Address - Country:US
Practice Address - Phone:860-265-2028
Practice Address - Fax:860-265-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001809251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008024017Medicaid