Theresa Alecia Rose, | |
350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 | |
(860) 532-8222 | |
Not Available |
Full Name | Theresa Alecia Rose |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 350 Center Rock Grn Ste 9, Oxford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760087944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 004843 (Connecticut) | Primary |
Entity Name | Core Psychotherapy Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780256677 PECOS PAC ID: 0244674075 Enrollment ID: O20240220001551 |
Mailing Address | Practice Location Address |
---|---|
Theresa Alecia Rose, 281 Burgundy Hill Ln, Middletown, CT 06457-6372 Ph: (860) 532-8222 | Theresa Alecia Rose, 350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 Ph: (860) 532-8222 |
Alice Kroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Quaker Farms Rd, Oxford, CT 06478 Phone: 203-305-1012 Fax: 203-888-5275 | |
Stephanie Pavlo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 350 Center Rock Grn Ste 9, Oxford, CT 06478 Phone: 203-951-1858 Fax: 203-951-1857 | |
Ms. Lucrezia Mangione, LCPC,LPC,NCC,BC-TMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Christian St, Oxford, CT 06478 Phone: 802-578-3700 | |
Brittney Romagna, MA, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Christian St Ste 7, Oxford, CT 06478 Phone: 802-578-3700 | |
William Bogen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Skyline Dr, Oxford, CT 06478 Phone: 203-881-5539 | |
Jenna Rae Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Center Rock Grn Ste 9, Oxford, CT 06478 Phone: 203-951-1858 Fax: 203-307-1771 |