Provider Demographics
NPI:1831814441
Name:IT TAKES A VILLAGE LLC
Entity type:Organization
Organization Name:IT TAKES A VILLAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CHILDCARE PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-494-9149
Mailing Address - Street 1:33 WYLLYS ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1115
Mailing Address - Country:US
Mailing Address - Phone:860-494-9149
Mailing Address - Fax:
Practice Address - Street 1:33 WYLLYS ST
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-1115
Practice Address - Country:US
Practice Address - Phone:860-494-9149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care