| Athena Counseling Services, Llc | |
|
255 Olivia St Derby CT 06418-1529 | |
| (203) 526-5158 | |
| Not Available |
| Full Name | Athena Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 255 Olivia St, Derby, Connecticut |
| Authorized Official Name and Position | Edicson Orozco (OWNER) |
| Authorized Official Contact | 2035265158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athena Counseling Services, Llc 255 Olivia St Derby CT 06418-1529 Ph: (203) 526-5158 | Athena Counseling Services, Llc 255 Olivia St Derby CT 06418-1529 Ph: (203) 526-5158 |
| NPI Number | 1376077859 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376077859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003026 (Connecticut) | Primary |
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