Eastern Services & Camp Simon, LLC
Eastern Services & Camp Simon, LLC is a healthcare organization registered as Professional Counselor in East Windsor, CT, holding Type 2 (organization) NPI 1902173370 since 2011. The authorized official on file is Maly Phimvongsa, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902173370 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eastern Services & Camp Simon, LLC |
| Practice address | 115 BRIDGE ST, SUITE C, East Windsor, CT, 06088 |
| Phone | 8602545127 |
| Fax | 8602545254 |
| Enumeration date | 2011-11-29 |
| Last updated in NPPES | 2020-02-11 |
Authorized official
| Name | Maly Phimvongsa |
|---|---|
| Title | Director |
| Phone | 8602545127 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor | Primary | 001470 | CT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004257053 | Medicaid | CT | — |
Copy-ready billing details
Provider: Eastern Services & Camp Simon, LLC NPI: 1902173370 Taxonomy: 101YP2500X (Professional Counselor) Address: 115 BRIDGE ST, SUITE C, East Windsor, CT, 06088
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225755499 | Louise Ruel | Individual | Professional Counselor | East Windsor, CT |
Verify this record
Cross-check NPI 1902173370 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 is a Type 2 NPI?
What type of organization is Eastern Services & Camp Simon, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-11.