| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
37 S Broad St Pawcatuck CT 06379-7909 | |
| (860) 437-4550 | |
| (860) 661-4262 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 37 S Broad St, Pawcatuck, Connecticut |
| Authorized Official Name and Position | Lisa Baxter (CHIEF FINANCIAL AND ADMINISTRATIVE) |
| Authorized Official Contact | 8604374550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Agency Of Southeastern Connecticut, Inc. Po Box 120 New London CT 06320-0120 Ph: (860) 437-4550 | Child And Family Agency Of Southeastern Connecticut, Inc. 37 S Broad St Pawcatuck CT 06379-7909 Ph: (860) 437-4550 |
| NPI Number | 1336855014 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336855014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Julie Guiher, Psy.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Pawcatuck, CT 06379 Phone: 860-334-0219 | |
Southeast Counseling Associates, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 401-465-2914 Fax: 401-322-0883 | |
Se Counseling Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 860-599-2125 | |
Southeast Counseling Associates,ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 860-599-2125 Fax: 401-322-0883 | |
Shaune Martin Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 43 W Broad St Unit 1, Pawcatuck, CT 06379 Phone: 860-245-8548 | |
Southeast Counseling Associates, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 185 S Broad St Ste 103, Pawcatuck, CT 06379 Phone: 860-599-2125 Fax: 401-322-0883 |