Art And Soul Art Therapy, Llc | |
149 Durham Rd Madison CT 06443-2677 | |
(203) 350-3717 | |
Not Available |
Full Name | Art And Soul Art Therapy, Llc |
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Speciality | Counselor |
Location | 149 Durham Rd, Madison, Connecticut |
Authorized Official Name and Position | Briana Benn-mirandi (OWNER) |
Authorized Official Contact | 2033503717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Art And Soul Art Therapy, Llc 246 Durham Rd Madison CT 06443-2454 Ph: (203) 350-3717 | Art And Soul Art Therapy, Llc 149 Durham Rd Madison CT 06443-2677 Ph: (203) 350-3717 |
NPI Number | 1124505425 |
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Provider Enumeration Date | 07/19/2018 |
Last Update Date | 07/19/2018 |
Medicare PECOS PAC ID | 7618317041 |
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Medicare Enrollment ID | O20240501003265 |
Identifier | Type | State | Issuer |
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1124505425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 003496 (Connecticut) | Primary |
Provider Name | Briana Benn-mirandi |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1497231757 PECOS PAC ID: 8527408954 Enrollment ID: I20240501003310 |
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