Phouangmaly Phimvongsa, LPC | |
82 Main St, Windsor Locks, CT 06096-2325 | |
(860) 254-5127 | |
(860) 310-4235 |
Full Name | Phouangmaly Phimvongsa |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 82 Main St, Windsor Locks, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821156498 | NPI | - | NPPES |
004257053 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 001470 (Connecticut) | Primary |
Mailing Address | Practice Location Address |
---|---|
Phouangmaly Phimvongsa, LPC 82 Main St, Windsor Locks, CT 06096-2325 Ph: (860) 254-5127 | Phouangmaly Phimvongsa, LPC 82 Main St, Windsor Locks, CT 06096-2325 Ph: (860) 254-5127 |
Darlene Bernier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Ellis St, Windsor Locks, CT 06096 Phone: 860-508-7557 | |
Kathryn Barnard, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 261 Green Manor Ter, Windsor Locks, CT 06096 Phone: 860-989-6634 |