Provider Demographics
NPI:1740752641
Name:HUMAN SERVICES COUNCIL, INC.
Entity Type:Organization
Organization Name:HUMAN SERVICES COUNCIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SBHC PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, APRN
Authorized Official - Phone:203-550-3519
Mailing Address - Street 1:1 PARK ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4841
Mailing Address - Country:US
Mailing Address - Phone:203-849-1111
Mailing Address - Fax:203-849-1151
Practice Address - Street 1:176 STRAWBERRY HILL AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5937
Practice Address - Country:US
Practice Address - Phone:203-899-2910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health