| Cultivating Change Counseling Services, Llc | |
|
392 Merrow Rd Ste B Tolland CT 06084-3974 | |
| (860) 965-2443 | |
| Not Available |
| Full Name | Cultivating Change Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 392 Merrow Rd Ste B, Tolland, Connecticut |
| Authorized Official Name and Position | Christine Brenton (CLINICIAN/MANAGER) |
| Authorized Official Contact | 8609652443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivating Change Counseling Services, Llc 4 Gloria Ln Ellington CT 06029-2609 Ph: (860) 965-2443 | Cultivating Change Counseling Services, Llc 392 Merrow Rd Ste B Tolland CT 06084-3974 Ph: (860) 965-2443 |
| NPI Number | 1275959769 |
|---|---|
| Provider Enumeration Date | 03/09/2014 |
| Last Update Date | 04/02/2015 |
| Medicare PECOS PAC ID | 8628384484 |
|---|---|
| Medicare Enrollment ID | O20150825004447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275959769 | NPI | - | NPPES |
| Provider Name | Carol A Carlino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184860546 PECOS PAC ID: 5193863199 Enrollment ID: I20120524000106 |
| Provider Name | Stephan Machattie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306217765 PECOS PAC ID: 0143508671 Enrollment ID: I20161103000500 |
| Provider Name | Joanne Hutt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033257803 PECOS PAC ID: 3274635230 Enrollment ID: I20190627003015 |
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