Mrs Melodie Keen, LADC | |
4 Byington Pl, Norwalk, CT 06850-3309 | |
(203) 866-2541 | |
(203) 854-5682 |
Full Name | Mrs Melodie Keen |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 4 Byington Pl, Norwalk, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689945438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000402 (Connecticut) | Primary |
101YM0800X | Counselor - Mental Health | 00723 (Connecticut) | Secondary |
Entity Name | Connecticut Renaissance, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700893807 PECOS PAC ID: 0941253728 Enrollment ID: O20050222000611 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melodie Keen, LADC 350 Fairfield Ave, Suite 701, Bridgeport, CT 06604-6014 Ph: (203) 336-5225 | Mrs Melodie Keen, LADC 4 Byington Pl, Norwalk, CT 06850-3309 Ph: (203) 866-2541 |
Lisa Donohue-olivieri, MA, LADC, LCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Highbrook Rd, Norwalk, CT 06851 Phone: 203-505-3063 | |
Erin Zurheide, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Terry Ln, Norwalk, CT 06854 Phone: 203-559-9818 | |
Mr. Andrew Joseph Irrera, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lois St, Norwalk, CT 06851 Phone: 203-221-8899 Fax: 203-229-0499 | |
Ryan Cruikshank, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Ann St Apt B32, Norwalk, CT 06854 Phone: 203-912-7639 | |
Gilytza Roselle, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Winfield St Apt A, Norwalk, CT 06855 Phone: 203-309-8781 | |
Kevin Davis Bartlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Murray St, Norwalk, CT 06851 Phone: 860-608-3603 | |
Dr. Leonard Alan Kenowitz, PH.D.,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 East Ave, Suite R, Norwalk, CT 06851 Phone: 203-831-9385 Fax: 203-866-1509 |