| Changes Through You, Llc | |
|
1102 Lexington Blvd Bethel CT 06801-1347 | |
| (203) 667-4784 | |
| Not Available |
| Full Name | Changes Through You, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1102 Lexington Blvd, Bethel, Connecticut |
| Authorized Official Name and Position | Brooke Morris (OWNER) |
| Authorized Official Contact | 2039178560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes Through You, Llc Po Box 691 Bethel CT 06801-0691 Ph: (203) 917-8560 | Changes Through You, Llc 1102 Lexington Blvd Bethel CT 06801-1347 Ph: (203) 667-4784 |
| NPI Number | 1225644693 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 01/17/2021 |
| Certification Date | 01/17/2021 |
| Medicare PECOS PAC ID | 5991110058 |
|---|---|
| Medicare Enrollment ID | O20210223001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225644693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brooke Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285240846 PECOS PAC ID: 6800201963 Enrollment ID: I20210223001648 |
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