A Seed Of Hope Ct Llc | |
2911 Dixwell Ave Ste 300b Hamden CT 06518-3159 | |
(860) 704-9483 | |
Not Available |
Full Name | A Seed Of Hope Ct Llc |
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Speciality | Social Worker |
Location | 2911 Dixwell Ave Ste 300b, Hamden, Connecticut |
Authorized Official Name and Position | Emelinda Montanez (OWNER/CLINICIAN) |
Authorized Official Contact | 8607049483 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Seed Of Hope Ct Llc 2911 Dixwell Ave Ste 300b Hamden CT 06518-3159 Ph: (860) 704-9483 | A Seed Of Hope Ct Llc 2911 Dixwell Ave Ste 300b Hamden CT 06518-3159 Ph: (860) 704-9483 |
NPI Number | 1801677950 |
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Provider Enumeration Date | 10/12/2023 |
Last Update Date | 10/20/2023 |
Certification Date | 10/20/2023 |
Medicare PECOS PAC ID | 1759726284 |
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Medicare Enrollment ID | O20240223003056 |
Identifier | Type | State | Issuer |
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1801677950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Emelinda Rosa Montanez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023582335 PECOS PAC ID: 2668817198 Enrollment ID: I20240223003182 |
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