Mr Michael Anthony Black, MS | |
230 Main Street Ext, Middletown, CT 06457-4470 | |
(860) 343-5303 | |
(860) 344-3339 |
Full Name | Mr Michael Anthony Black |
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Gender | Male |
Speciality | Counselor |
Location | 230 Main Street Ext, Middletown, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437703873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Gilead Community Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518948025 PECOS PAC ID: 0244289643 Enrollment ID: O20050112000765 |
Entity Name | Stokes Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134541469 PECOS PAC ID: 9638504202 Enrollment ID: O20200109001018 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Anthony Black, MS 230 Main Street Ext, Middletown, CT 06457-4470 Ph: (860) 343-5303 | Mr Michael Anthony Black, MS 230 Main Street Ext, Middletown, CT 06457-4470 Ph: (860) 343-5303 |
Ms. Jamie Lynn Birchall, AS DARC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Silver St, Middletown, CT 06457 Phone: 860-346-0300 | |
Ashley Lunt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 955 S Main St # B201, Middletown, CT 06457 Phone: 203-533-2351 | |
Nicole Mcminn, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Tuttle Pl, Middletown, CT 06457 Phone: 860-632-3235 | |
Mrs. Nicole Marie Alexopoulos, MSAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Silver St, Middletown, CT 06457 Phone: 860-972-1106 Fax: 860-346-6108 | |
Pamela Mulready, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Randolph Rd, Middletown, CT 06457 Phone: 860-975-5573 | |
Michael Lauro, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Main Street, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-343-7379 | |
Mrs. Katelyn Mary Warner, MA Counselor Medicare: Medicare Enrolled Practice Location: 675 Main Street, Middletown, CT 06457 Phone: 407-310-4512 |