| Andrea Quick Counseling & Mediation Llc | |
|
20 Chestnut St Vernon CT 06066-3222 | |
| (860) 938-8557 | |
| (860) 926-0064 |
| Full Name | Andrea Quick Counseling & Mediation Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 20 Chestnut St, Vernon, Connecticut |
| Authorized Official Name and Position | Andrea A Quick (OWNER/CLINICIAN) |
| Authorized Official Contact | 8609388556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Quick Counseling & Mediation Llc 20 Chestnut St Vernon CT 06066-3222 Ph: (860) 938-8557 | Andrea Quick Counseling & Mediation Llc 20 Chestnut St Vernon CT 06066-3222 Ph: (860) 938-8557 |
| NPI Number | 1316557846 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Certification Date | 08/10/2020 |
| Medicare PECOS PAC ID | 2062832363 |
|---|---|
| Medicare Enrollment ID | O20201026000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316557846 | NPI | - | NPPES |
| 004243747 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Andrea Michelle Quick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710205356 PECOS PAC ID: 7719154483 Enrollment ID: I20120120000169 |
| Provider Name | Nancy U Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942895107 PECOS PAC ID: 4486060514 Enrollment ID: I20210315002012 |
| Provider Name | Melanie Bellizzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891387304 PECOS PAC ID: 7315318169 Enrollment ID: I20230113002125 |
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