| Ehw Counseling & Therapy Llc | |
|
63 Wall St Madison CT 06443-3121 | |
| (203) 318-4224 | |
| Not Available |
| Full Name | Ehw Counseling & Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 63 Wall St, Madison, Connecticut |
| Authorized Official Name and Position | Elizabeth Wilson (THERAPIST COUNSELOR) |
| Authorized Official Contact | 2033184224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehw Counseling & Therapy Llc Po Box 179 Madison CT 06443-0179 Ph: (203) 318-4224 | Ehw Counseling & Therapy Llc 63 Wall St Madison CT 06443-3121 Ph: (203) 318-4224 |
| NPI Number | 1295278539 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Medicare PECOS PAC ID | 3476999178 |
|---|---|
| Medicare Enrollment ID | O20240315001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295278539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1169 (Connecticut) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1848 (Connecticut) | Primary |
| Provider Name | Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215309174 PECOS PAC ID: 4385080084 Enrollment ID: I20240315001104 |
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