| Change Counseling, Llc | |
|
750r Main St Willimantic CT 06226-2504 | |
| (860) 833-2657 | |
| Not Available |
| Full Name | Change Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 750r Main St, Willimantic, Connecticut |
| Authorized Official Name and Position | Madelyn Briggs (OWNER) |
| Authorized Official Contact | 8608332657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Counseling, Llc 261 Church St Willimantic CT 06226-2625 Ph: (860) 833-2657 | Change Counseling, Llc 750r Main St Willimantic CT 06226-2504 Ph: (860) 833-2657 |
| NPI Number | 1780141465 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 02/28/2019 |
| Medicare PECOS PAC ID | 9234564956 |
|---|---|
| Medicare Enrollment ID | O20200127000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780141465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Madelyn Rosemary Straub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831567023 PECOS PAC ID: 3779855317 Enrollment ID: I20170817000383 |
| Provider Name | Rachel Hence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720012099 PECOS PAC ID: 9335489616 Enrollment ID: I20190325000114 |
| Provider Name | Elizabeth Marie Clarkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659820926 PECOS PAC ID: 5890037873 Enrollment ID: I20190423000032 |
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