Black Quin LLC
Black Quin LLC is a Professional Counselor in Stratford, Connecticut. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1355 Nichols AveStratford, CT 06614-2627
Phone: (203) 892-2921
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1144985250 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Autumn Wright — Owner · (203) 892-2921 |
| NPI enumerated | November 3, 2021 |
| Last updated in NPPES | March 12, 2025 |
| Certification date | March 12, 2025 |
| Mailing address | 1355 Nichols Ave, Stratford, CT 06614-2627 |
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