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

Eastern Services & Camp Simon, LLC

Organization Professional Counselor · NPI 1902173370

Eastern Services & Camp Simon, LLC is a Professional Counselor in East Windsor, Connecticut. Licensed in Connecticut. Registered with an NPI since 2011.

Licensed in
CT
In the registry since
2011
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

115 Bridge St Ste C
East Windsor, CT 06088-9547
Phone: (860) 254-5127
Fax: (860) 254-5254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 001470 (CT)

Record details

NPI number1902173370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maly Phimvongsa — Director · (860) 254-5127
NPI enumeratedNovember 29, 2011
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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