| Core Psychotherapy Counseling Services, Llc | |
|
281 Burgundy Hill Ln Middletown CT 06457-6372 | |
| (860) 532-8222 | |
| Not Available |
| Full Name | Core Psychotherapy Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 281 Burgundy Hill Ln, Middletown, Connecticut |
| Authorized Official Name and Position | Theresa Alecia Rose (THERAPIST) |
| Authorized Official Contact | 8605328222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Psychotherapy Counseling Services, Llc 281 Burgundy Hill Ln Middletown CT 06457-6372 Ph: (860) 532-8222 | Core Psychotherapy Counseling Services, Llc 281 Burgundy Hill Ln Middletown CT 06457-6372 Ph: (860) 532-8222 |
| NPI Number | 1780256677 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Medicare PECOS PAC ID | 0244674075 |
|---|---|
| Medicare Enrollment ID | O20240220001551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780256677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Theresa Alecia Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760087944 PECOS PAC ID: 1658715487 Enrollment ID: I20240220001743 |
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