| Desiree Scime Lmft Ladc Llc | |
|
27 Siemon Company Dr Ste 110w Watertown CT 06795-2654 | |
| (203) 668-1926 | |
| Not Available |
| Full Name | Desiree Scime Lmft Ladc Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 27 Siemon Company Dr Ste 110w, Watertown, Connecticut |
| Authorized Official Name and Position | Desiree A Scime (OWNER) |
| Authorized Official Contact | 2036681926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Scime Lmft Ladc Llc 387 Highland Dr Waterbury CT 06708-3651 Ph: (203) 668-1926 | Desiree Scime Lmft Ladc Llc 27 Siemon Company Dr Ste 110w Watertown CT 06795-2654 Ph: (203) 668-1926 |
| NPI Number | 1336531219 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336531219 | NPI | - | NPPES |
| 1199429 | Other | CAQH | |
| 402319 | Other | CT | BEACON HEALTH-VOPTIONS |
| 008056849 | Medicaid | CT | |
| 410001437CT01 | Other | CT | ANTHEM BCBS OF CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001437 (Connecticut) | Primary |
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