| Black Quin Llc | |
|
1355 Nichols Ave Stratford CT 06614-2627 | |
| (203) 892-2921 | |
| Not Available |
| Full Name | Black Quin Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1355 Nichols Ave, Stratford, Connecticut |
| Authorized Official Name and Position | Autumn Wright (OWNER) |
| Authorized Official Contact | 2038922921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Quin Llc 1355 Nichols Ave Stratford CT 06614-2627 Ph: (203) 892-2921 | Black Quin Llc 1355 Nichols Ave Stratford CT 06614-2627 Ph: (203) 892-2921 |
| NPI Number | 1144985250 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144985250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Kardos Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 River Bend Rd Unit D, Stratford, CT 06614 Phone: 203-414-5655 | |
Balanced Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Ferry Blvd, Suite 105, Stratford, CT 06615 Phone: 305-495-7230 | |
Recovery Network Of Programs, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Research Dr, Stratford, CT 06615 Phone: 203-386-8802 Fax: 203-386-8369 | |
New Hope Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2875 Main St Ste 2, Stratford, CT 06614 Phone: 203-768-7653 | |
Better Tomorrows Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Nichols Ave, Stratford, CT 06614 Phone: 203-308-8451 | |
Personal Growth Concepts, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1825 Barnum Ave, Suite 304, Stratford, CT 06614 Phone: 203-375-5782 Fax: 203-375-3048 | |
True North Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 North Ave, Stratford, CT 06614 Phone: 203-816-0763 |