| Behavioral Health Consulting Services Llc | |
|
46 W Avon Rd Suite 202 Avon CT 06001-3679 | |
| (860) 673-0145 | |
| (860) 673-1255 |
| Full Name | Behavioral Health Consulting Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 46 W Avon Rd, Avon, Connecticut |
| Authorized Official Name and Position | Diane Tobin (OWNER) |
| Authorized Official Contact | 8606730145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Consulting Services Llc 46 W Avon Rd Suite 202 Avon CT 06001-3679 Ph: (860) 673-0145 | Behavioral Health Consulting Services Llc 46 W Avon Rd Suite 202 Avon CT 06001-3679 Ph: (860) 673-0145 |
| NPI Number | 1902199326 |
|---|---|
| Provider Enumeration Date | 05/18/2011 |
| Last Update Date | 12/05/2013 |
| Medicare PECOS PAC ID | 6709128606 |
|---|---|
| Medicare Enrollment ID | O20190424002578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902199326 | NPI | - | NPPES |
| Provider Name | Rachel Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316077795 PECOS PAC ID: 4587981592 Enrollment ID: I20150331001201 |
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