Anna Catherine Davenport, LMFT | |
11 High St Ste 202, Suffield, CT 06078-2125 | |
(860) 668-1444 | |
(860) 668-1446 |
Full Name | Anna Catherine Davenport |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 11 High St Ste 202, Suffield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689942336 | NPI | - | NPPES |
008038165 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 000724 (Connecticut) | Primary |
Entity Name | Magnolia Counseling, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922435593 PECOS PAC ID: 8527403609 Enrollment ID: O20240228002606 |
Mailing Address | Practice Location Address |
---|---|
Anna Catherine Davenport, LMFT 11 High St Ste 202, Suffield, CT 06078-2125 Ph: (860) 668-1444 | Anna Catherine Davenport, LMFT 11 High St Ste 202, Suffield, CT 06078-2125 Ph: (860) 668-1444 |
Chelsea Natal, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11 High St Ste 206, Suffield, CT 06078 Phone: 860-833-3993 | |
Mrs. Kathryn Mary Tkacz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 133 Mountain Rd, Suffield, CT 06078 Phone: 860-254-5582 | |
Mrs. Yvonne Wutka, Couples Therapy Medicare: Medicare Enrolled Practice Location: 133 Mountain Rd, Suffield, CT 06078 Phone: 860-729-8658 | |
Mr. James M Noonan, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 68 Bridge St, Suite 220, Suffield, CT 06078 Phone: 860-614-9911 | |
Michael Ryan Haines, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 575 Mapleton Ave, Suffield, CT 06078 Phone: 860-205-2433 |