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Contact Information

PEAK LONGEVITY LLC
451 STATE ST
NORTH HAVEN, CT06473-3070
 Phone: 203-281-4325
 Fax: 203-281-4324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PEAK LONGEVITY LLC

NPI # 1922596360
LBN Legal business name PEAK LONGEVITY LLC
Authorized official DEBORAH MARCUS, LCSW - (DIRECTOR, LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2018
Last updated 04/30/2018 - About 8 years ago
Identifiers
CT License # 005904
CT Other 140005904CT03 ANTHEM BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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