| Anchor Clinical Solutions, Llc | |
|
969 W Main St Ste 1d Waterbury CT 06708-2667 | |
| (203) 632-7020 | |
| (203) 465-6337 |
| Full Name | Anchor Clinical Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 969 W Main St Ste 1d, Waterbury, Connecticut |
| Authorized Official Name and Position | Patrice Kenyatta Boyce (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 2036327020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Clinical Solutions, Llc 969 W Main St Ste 1d Waterbury CT 06708-2667 Ph: (203) 632-7020 | Anchor Clinical Solutions, Llc 969 W Main St Ste 1d Waterbury CT 06708-2667 Ph: (203) 632-7020 |
| NPI Number | 1336732627 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 05/05/2021 |
| Certification Date | 04/14/2021 |
| Medicare PECOS PAC ID | 0446667653 |
|---|---|
| Medicare Enrollment ID | O20210405001356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336732627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patrice Boyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205144367 PECOS PAC ID: 1355758566 Enrollment ID: I20210409000774 |
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