| A Minds Journey Llc | |
|
1339 Albany Ave Hartford CT 06112-2107 | |
| (860) 707-3999 | |
| Not Available |
| Full Name | A Minds Journey Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1339 Albany Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Joseph Clarence Wilkerson (AGENT) |
| Authorized Official Contact | 8607073999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Minds Journey Llc 1339 Albany Ave Hartford CT 06112-2107 Ph: (860) 707-3999 | A Minds Journey Llc 1339 Albany Ave Hartford CT 06112-2107 Ph: (860) 707-3999 |
| NPI Number | 1336781806 |
|---|---|
| Provider Enumeration Date | 10/16/2019 |
| Last Update Date | 10/16/2019 |
| Medicare PECOS PAC ID | 4789002767 |
|---|---|
| Medicare Enrollment ID | O20200909000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336781806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Roxann M Ellis Denby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992958094 PECOS PAC ID: 6901953140 Enrollment ID: I20090406000189 |
| Provider Name | Angela D Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770879819 PECOS PAC ID: 2567880834 Enrollment ID: I20200918000172 |
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