Christian Counseling Of Hartford Llc | |
555 Franklin Ave Hartford CT 06114-3081 | |
(860) 995-8330 | |
Not Available |
Full Name | Christian Counseling Of Hartford Llc |
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Speciality | Social Worker |
Location | 555 Franklin Ave, Hartford, Connecticut |
Authorized Official Name and Position | Devon Forbes (OWNER) |
Authorized Official Contact | 8609958330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christian Counseling Of Hartford Llc 199 Montemerlo Ave Windsor Locks CT 06096-2727 Ph: (860) 995-8330 | Christian Counseling Of Hartford Llc 555 Franklin Ave Hartford CT 06114-3081 Ph: (860) 995-8330 |
NPI Number | 1669132924 |
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Provider Enumeration Date | 12/28/2021 |
Last Update Date | 12/28/2021 |
Certification Date | 12/28/2021 |
Medicare PECOS PAC ID | 8123408697 |
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Medicare Enrollment ID | O20220630002473 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669132924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Devon Forbes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508293622 PECOS PAC ID: 9032599501 Enrollment ID: I20220630002630 |
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