| Baxley Counseling Llc | |
|
36 Highland Dr Ledyard CT 06339-1836 | |
| (860) 287-2956 | |
| Not Available |
| Full Name | Baxley Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 36 Highland Dr, Ledyard, Connecticut |
| Authorized Official Name and Position | Sharon Baxley (LCSW) |
| Authorized Official Contact | 8602872956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baxley Counseling Llc 36 Highland Dr Ledyard CT 06339-1836 Ph: (860) 287-2956 | Baxley Counseling Llc 36 Highland Dr Ledyard CT 06339-1836 Ph: (860) 287-2956 |
| NPI Number | 1629527064 |
|---|---|
| Provider Enumeration Date | 09/27/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 6608164595 |
|---|---|
| Medicare Enrollment ID | O20161010000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629527064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006813 (Connecticut) | Primary |
| Provider Name | Sharon Baxley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427499458 PECOS PAC ID: 2961790712 Enrollment ID: I20161011000229 |
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