Provider Demographics
NPI:1851927248
Name:CLUFOIR COUNSELING AND SOCIAL SERVICES LLC
Entity Type:Organization
Organization Name:CLUFOIR COUNSELING AND SOCIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHANKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-404-1010
Mailing Address - Street 1:102 PEMBROKE RD
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2626
Mailing Address - Country:US
Mailing Address - Phone:203-668-3554
Mailing Address - Fax:860-426-2898
Practice Address - Street 1:1783 MERIDEN WATERBURY TPKE
Practice Address - Street 2:UNIT # 11
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-0268
Practice Address - Country:US
Practice Address - Phone:203-404-1010
Practice Address - Fax:860-426-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty