Eric Stillman, | |
693 Bloomfield Ave, Bloomfield, CT 06002-2489 | |
(860) 243-6584 | |
(860) 243-6591 |
Full Name | Eric Stillman |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 693 Bloomfield Ave, Bloomfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942793344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 46.005871 (Connecticut) | Primary |
Entity Name | Kerith Brook Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417711847 PECOS PAC ID: 8628419793 Enrollment ID: O20240508000256 |
Mailing Address | Practice Location Address |
---|---|
Eric Stillman, 995 Day Hill Rd, Windsor, CT 06095-1722 Ph: (860) 731-5522 | Eric Stillman, 693 Bloomfield Ave, Bloomfield, CT 06002-2489 Ph: (860) 243-6584 |
Patrice Anthia Moulton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Northwestern Dr, Bloomfield, CT 06002 Phone: 860-243-3477 Fax: 860-243-3224 | |
Mrs. Lissette Baez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-243-6584 Fax: 860-243-6591 | |
Juan Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522 Fax: 860-731-5536 | |
Gail Rosenfeld, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Wild Rose Ct, Bloomfield, CT 06002 Phone: 860-205-1743 | |
Tonya Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522 Fax: 860-731-5536 | |
Joon Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522 | |
Caroline Suzanne Carey Oesch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 West Dudley St, Bloomfield, CT 06002 Phone: 860-888-3518 |