Center For Therapeutic Change, Llc | |
16 River St Norwalk CT 06850-3444 | |
(203) 640-7261 | |
Not Available |
Full Name | Center For Therapeutic Change, Llc |
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Speciality | Counselor |
Location | 16 River St, Norwalk, Connecticut |
Authorized Official Name and Position | James Amarante (MANAGER) |
Authorized Official Contact | 2036407261 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Therapeutic Change, Llc 16 River St Norwalk CT 06850-3444 Ph: (203) 640-7261 | Center For Therapeutic Change, Llc 16 River St Norwalk CT 06850-3444 Ph: (203) 640-7261 |
NPI Number | 1588156905 |
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Provider Enumeration Date | 06/01/2018 |
Last Update Date | 06/01/2018 |
Medicare PECOS PAC ID | 4587917299 |
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Medicare Enrollment ID | O20181026000673 |
Identifier | Type | State | Issuer |
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1588156905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2976 (Connecticut) | Primary |
Provider Name | Lorraine Lazarus-morley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629481866 PECOS PAC ID: 8628349396 Enrollment ID: I20170731001602 |
Provider Name | Cristina Martin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164868832 PECOS PAC ID: 9537412242 Enrollment ID: I20181026000890 |
Provider Name | Lia M Campos |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740685148 PECOS PAC ID: 6103158928 Enrollment ID: I20191029000901 |
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