Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Services & Camp Simon LLC

Organization Mental Health Counselor · NPI 1538582739

Eastern Services & Camp Simon LLC is a Mental Health Counselor in Windsor Locks, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

82 Main St
Windsor Locks, CT 06096-2325
Phone: (860) 254-5127
Fax: (860) 310-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Bridge St, East Windsor, CT 06088-9547 — (860) 254-5127

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 001470 (CT)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 002227 (CT)

Record details

NPI number1538582739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maly Phimvongsa — Clinical Director/Owner · (860) 254-5127
NPI enumeratedJanuary 24, 2014
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address115 Bridge St, Suite C, East Windsor, CT 06088-9547

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