Brighter Day Llc | |
910 Wolcott St Waterbury CT 06705-1317 | |
(203) 568-6065 | |
Not Available |
Full Name | Brighter Day Llc |
---|---|
Speciality | Social Worker |
Location | 910 Wolcott St, Waterbury, Connecticut |
Authorized Official Name and Position | Gitti Kahan (OWNER) |
Authorized Official Contact | 2035686065 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brighter Day Llc 910 Wolcott St Ste 13 Waterbury CT 06705-1360 Ph: () - | Brighter Day Llc 910 Wolcott St Waterbury CT 06705-1317 Ph: (203) 568-6065 |
NPI Number | 1710660584 |
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Provider Enumeration Date | 08/09/2023 |
Last Update Date | 08/15/2023 |
Certification Date | 08/15/2023 |
Medicare PECOS PAC ID | 2668826611 |
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Medicare Enrollment ID | O20231213000362 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710660584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
174400000X | Specialist | (* (Not Available)) | Secondary |
Provider Name | Stephanie Larose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235647181 PECOS PAC ID: 4385905876 Enrollment ID: I20180226000081 |
Provider Name | Yehuda Roberts |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609287325 PECOS PAC ID: 8921417999 Enrollment ID: I20210503002221 |
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