Provider Demographics
NPI:1831796234
Name:SHARING ABILITIES COUNSELING LLC
Entity type:Organization
Organization Name:SHARING ABILITIES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-LEAD CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MCDERMOTT-SELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:860-983-7388
Mailing Address - Street 1:146 HAROLD STREET
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06112
Mailing Address - Country:US
Mailing Address - Phone:860-602-8849
Mailing Address - Fax:
Practice Address - Street 1:340 BROAD STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095
Practice Address - Country:US
Practice Address - Phone:860-602-8849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty