Basic Information
Provider Information
NPI: 1689331662
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAHIN
FirstName: MUGE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 34 E TOWN ST
Address2:  
City: NORWICH
State: CT
PostalCode: 063602317
CountryCode: US
TelephoneNumber: 8608927042
FaxNumber: 8608233060
Practice Location
Address1: 47 TOWN ST
Address2:  
City: NORWICH
State: CT
PostalCode: 063602323
CountryCode: US
TelephoneNumber: 8608927042
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/24/2021
LastUpdateDate: 11/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X5267CTY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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