Courageous Healing Llc | |
353 Central Ave New Haven CT 06515-2207 | |
(203) 980-1195 | |
Not Available |
Full Name | Courageous Healing Llc |
---|---|
Speciality | Social Worker |
Location | 353 Central Ave, New Haven, Connecticut |
Authorized Official Name and Position | Grace Kindilien Moskowitz (CEO) |
Authorized Official Contact | 2039801195 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Courageous Healing Llc 353 Central Ave New Haven CT 06515-2207 Ph: (203) 980-1195 | Courageous Healing Llc 353 Central Ave New Haven CT 06515-2207 Ph: (203) 980-1195 |
NPI Number | 1053985333 |
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Provider Enumeration Date | 05/19/2021 |
Last Update Date | 05/19/2021 |
Certification Date | 05/19/2021 |
Medicare PECOS PAC ID | 6305240003 |
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Medicare Enrollment ID | O20210803000996 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053985333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Grace Kindilien Moskowitz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265985725 PECOS PAC ID: 7315283157 Enrollment ID: I20190115002386 |
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