Provider Demographics
NPI:1821732926
Name:DARLENE KAROLYI LLC
Entity Type:Organization
Organization Name:DARLENE KAROLYI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAROLYI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-307-9202
Mailing Address - Street 1:67 OXFORD WAY
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-2371
Mailing Address - Country:US
Mailing Address - Phone:860-307-9202
Mailing Address - Fax:
Practice Address - Street 1:67 OXFORD WAY
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-2371
Practice Address - Country:US
Practice Address - Phone:860-307-9202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4602OtherLICENSE