Eastern Services & Camp Simon LLC
Eastern Services & Camp Simon LLC is a healthcare organization registered as Professional Counselor in Windsor Locks, CT, holding Type 2 (organization) NPI 1538582739 since 2014. The authorized official on file is Maly Phimvongsa, Clinical Director/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538582739 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eastern Services & Camp Simon LLC |
| Practice address | 82 MAIN ST, Windsor Locks, CT, 06096 |
| Phone | 8602545127 |
| Fax | 8603104235 |
| Enumeration date | 2014-01-24 |
| Last updated in NPPES | 2020-02-11 |
Authorized official
| Name | Maly Phimvongsa |
|---|---|
| Title | Clinical Director/Owner |
| Phone | 8602545127 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 101YP2500X | Professional Counselor | Secondary | 002227 | CT |
| 101YP2500X | Professional Counselor | Primary | 001470 | CT |
Copy-ready billing details
Provider: Eastern Services & Camp Simon LLC NPI: 1538582739 Taxonomy: 101YP2500X (Professional Counselor) Address: 82 MAIN ST, Windsor Locks, CT, 06096
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821156498 | Phouangmaly Phimvongsa | Individual | Counselor | Windsor Locks, CT |
| 1508403874 | David Gallagher | Individual | Clinical Social Worker | Windsor Locks, CT |
Verify this record
Cross-check NPI 1538582739 against the authoritative CMS record: view Eastern Services & Camp Simon LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Eastern Services & Camp Simon LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-02-11.