Provider Demographics
NPI:1922533363
Name:THE SOCIAL LEARNING CENTER. LLC
Entity Type:Organization
Organization Name:THE SOCIAL LEARNING CENTER. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ABILDGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, NCSP
Authorized Official - Phone:203-843-7434
Mailing Address - Street 1:545 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2205
Mailing Address - Country:US
Mailing Address - Phone:203-250-0305
Mailing Address - Fax:
Practice Address - Street 1:545 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2205
Practice Address - Country:US
Practice Address - Phone:203-250-0305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002158101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty