Ana Virginia Taveras, | |
968 Fairfield Ave, Bridgeport, CT 06605-1116 | |
(203) 330-6000 | |
Not Available |
Full Name | Ana Virginia Taveras |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 968 Fairfield Ave, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164182853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5884 (Connecticut) | Primary |
Entity Name | South-west Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699703686 PECOS PAC ID: 2466445200 Enrollment ID: O20040420001098 |
Mailing Address | Practice Location Address |
---|---|
Ana Virginia Taveras, 46 Albion St, Bridgeport, CT 06605-2602 Ph: (203) 330-6000 | Ana Virginia Taveras, 968 Fairfield Ave, Bridgeport, CT 06605-1116 Ph: (203) 330-6000 |
Mrs. Jacqueline Rodriguez, LADC,CAC,APP Counselor Medicare: Not Enrolled in Medicare Practice Location: 243 Success Ave, Bridgeport, CT 06610 Phone: 203-864-8429 | |
Ms. Trisha J Coombs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Bridgeport, CT 06604 Phone: 203-368-9755 Fax: 203-368-9760 | |
Regine Toussaint, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 4699 Main St Ste 210, Bridgeport, CT 06606 Phone: 120-320-8394 | |
Rudolph Hagwood Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1635 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-335-3518 Fax: 203-382-5589 | |
Rashawna D Brown, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Bunnell St, Bridgeport, CT 06607 Phone: 475-988-6885 | |
Ms. Kathleen L. Manalis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1046 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-330-6054 Fax: 203-331-4716 | |
Marcela Haendler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 475 Clinton Ave, Bridgeport, CT 06605 Phone: 203-368-4291 Fax: 203-368-9167 |