Provider Demographics
NPI:1427635101
Name:STRATEGY COUNSELING & COACHING LLC
Entity type:Organization
Organization Name:STRATEGY COUNSELING & COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEROY
Authorized Official - Middle Name:
Authorized Official - Last Name:M SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:475-675-0282
Mailing Address - Street 1:405 SAVIN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-5849
Mailing Address - Country:US
Mailing Address - Phone:475-675-0282
Mailing Address - Fax:
Practice Address - Street 1:17R MARNE ST
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-3628
Practice Address - Country:US
Practice Address - Phone:203-641-5489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-27
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health