Isaiah Darnell Dockett, | |
1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | |
(203) 781-4600 | |
(203) 781-4624 |
Full Name | Isaiah Darnell Dockett |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1 Long Wharf Dr Ste 321, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043924178 | NPI | - | NPPES |
008023170 | Medicaid | CT | |
008024427 | Medicaid | CT | |
008115789 | Medicaid | CT | |
008109605 | Medicaid | CT | |
008042339 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1488 (Connecticut) | Primary |
Entity Name | Prosperity Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700417441 PECOS PAC ID: 4284075565 Enrollment ID: O20240517000986 |
Mailing Address | Practice Location Address |
---|---|
Isaiah Darnell Dockett, 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 Ph: (203) 781-4600 | Isaiah Darnell Dockett, 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 Ph: (203) 781-4600 |
Rachel B Kopanski, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3250 Fax: 203-503-3254 | |
Joann Rotar, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 869 Whalley Ave, New Haven, CT 06515 Phone: 203-491-1652 | |
Mr. Mark C Vanacore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 871 State St, New Haven, CT 06511 Phone: 203-776-9900 Fax: 203-387-8522 | |
Dr. Rita W. Mccleary, PSY.D. Counselor Medicare: Medicare Enrolled Practice Location: 258 Bradley St, New Haven, CT 06510 Phone: 203-777-4045 | |
Mr. Pedro Delgado, BS. Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Lexington Ave, 2nd Floor, New Haven, CT 06513 Phone: 203-464-6913 | |
Cluny Gombar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3055 Fax: 203-503-3066 | |
Mr. Mukhtar M Nalado, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-781-4600 Fax: 203-781-4624 |