Provider Demographics
NPI:1679165070
Name:BOX OF RAIN COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:BOX OF RAIN COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:BRIEM
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:860-839-1295
Mailing Address - Street 1:43 STANLEY CT
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3633
Mailing Address - Country:US
Mailing Address - Phone:860-839-1295
Mailing Address - Fax:959-245-1856
Practice Address - Street 1:43 STANLEY CT
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-3633
Practice Address - Country:US
Practice Address - Phone:860-839-1295
Practice Address - Fax:959-245-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty