Clearpaths Counseling Llc | |
2 Corporate Dr Ste 207 Trumbull CT 06611-1376 | |
(203) 441-3236 | |
Not Available |
Full Name | Clearpaths Counseling Llc |
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Speciality | Clinic/Center |
Location | 2 Corporate Dr Ste 207, Trumbull, Connecticut |
Authorized Official Name and Position | Julia Massari (MEMBER) |
Authorized Official Contact | 2039122732 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clearpaths Counseling Llc 7 Norwood Ter Trumbull CT 06611-3804 Ph: (203) 912-2732 | Clearpaths Counseling Llc 2 Corporate Dr Ste 207 Trumbull CT 06611-1376 Ph: (203) 441-3236 |
NPI Number | 1164193058 |
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Provider Enumeration Date | 09/21/2021 |
Last Update Date | 10/26/2024 |
Certification Date | 10/26/2024 |
Medicare PECOS PAC ID | 4082154372 |
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Medicare Enrollment ID | O20240913000517 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164193058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Julia (jill) Marie Massari |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1114694627 PECOS PAC ID: 6800336199 Enrollment ID: I20240913000682 |
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