Pamela Mulready, LPC, LADC | |
850 Randolph Rd, Middletown, CT 06457-5237 | |
(860) 975-5573 | |
Not Available |
Full Name | Pamela Mulready |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 850 Randolph Rd, 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 |
---|---|---|---|
1023373248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 001054 (Connecticut) | Secondary |
101YP2500X | Counselor - Professional | 1928 (Connecticut) | Primary |
Entity Name | Optum Behavioral Care Of Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164203238 PECOS PAC ID: 9436502879 Enrollment ID: O20240201001054 |
Mailing Address | Practice Location Address |
---|---|
Pamela Mulready, LPC, LADC 850 Randolph Rd, Middletown, CT 06457-5237 Ph: (860) 975-5573 | Pamela Mulready, LPC, LADC 850 Randolph Rd, Middletown, CT 06457-5237 Ph: (860) 975-5573 |
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 | |
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 | |
Allyson Leigh Licese, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Russett Ln, Middletown, CT 06457 Phone: 203-206-3538 |