| A Path To Change, Llc | |
|
2 Center Rd W Ste 2 Old Saybrook CT 06475-4052 | |
| (860) 294-4505 | |
| Not Available |
| Full Name | A Path To Change, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2 Center Rd W Ste 2, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Michelle Mclain (OWNER) |
| Authorized Official Contact | 8608760881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Path To Change, Llc 15 Sunset Ave Old Saybrook CT 06475-1427 Ph: (860) 876-0881 | A Path To Change, Llc 2 Center Rd W Ste 2 Old Saybrook CT 06475-4052 Ph: (860) 294-4505 |
| NPI Number | 1427577022 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 09/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427577022 | NPI | - | NPPES |
| 004235918 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002359 (Connecticut) | Primary |
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