| Chesapeake Reflections , Llc | |
|
799 Silver Ln Trumbull CT 06611-5301 | |
| (203) 913-1171 | |
| Not Available |
| Full Name | Chesapeake Reflections , Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 799 Silver Ln, Trumbull, Connecticut |
| Authorized Official Name and Position | George M Cody (OWNER/MANAGER) |
| Authorized Official Contact | 2039131171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Reflections , Llc 799 Silver Ln Trumbull CT 06611-5301 Ph: (203) 913-1171 | Chesapeake Reflections , Llc 799 Silver Ln Trumbull CT 06611-5301 Ph: (203) 913-1171 |
| NPI Number | 1326693607 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Medicare PECOS PAC ID | 8325376387 |
|---|---|
| Medicare Enrollment ID | O20190829000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326693607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | George M Cody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083729602 PECOS PAC ID: 1052209020 Enrollment ID: I20190829000094 |
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