Stephanie Gill-manville, LPC | |
21 Montauk Avene, New London, CT 06320-6397 | |
(860) 271-4700 | |
(860) 271-4797 |
Full Name | Stephanie Gill-manville |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 21 Montauk Avene, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376795112 | NPI | - | NPPES |
004253027 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 001752 (Connecticut) | Primary |
Entity Name | Connecticut Behavioral Health Assoc, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629158126 PECOS PAC ID: 4385532373 Enrollment ID: O20040310000567 |
Entity Name | Journey To You, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215634662 PECOS PAC ID: 5092257352 Enrollment ID: O20240603001802 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Gill-manville, LPC Po Box 390, New London, CT 06320-0390 Ph: (860) 271-4700 | Stephanie Gill-manville, LPC 21 Montauk Avene, New London, CT 06320-6397 Ph: (860) 271-4700 |
Nichole Burns, Counselor Medicare: Medicare Enrolled Practice Location: 21 Montauk Avene, New London, CT 06320 Phone: 860-271-4715 Fax: 860-271-4797 | |
Theresa M. Bonanomi, Counselor Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5141 | |
Bethany Gallant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Montauk Ave, New London, CT 06320 Phone: 860-443-0530 Fax: 860-443-0536 | |
Lindsay Warner, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-437-4550 Fax: 860-661-4262 | |
Marie Salvemini, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304 Fax: 860-443-8720 | |
Katherine Cichon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 State St, Suite 307, New London, CT 06320 Phone: 860-941-9380 | |
Madilynn Jane Delach, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-437-4550 |