Elm City Counseling | |
157 Church St # 1918 New Haven CT 06510-2100 | |
(203) 675-3856 | |
Not Available |
Full Name | Elm City Counseling |
---|---|
Speciality | Community/behavioral Health |
Location | 157 Church St # 1918, New Haven, Connecticut |
Authorized Official Name and Position | Timothy Robert Riera (OWNER) |
Authorized Official Contact | 2036753856 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elm City Counseling 91 Kneeland Rd New Haven CT 06512-5008 Ph: (203) 675-3856 | Elm City Counseling 157 Church St # 1918 New Haven CT 06510-2100 Ph: (203) 675-3856 |
NPI Number | 1053895508 |
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Provider Enumeration Date | 09/20/2018 |
Last Update Date | 09/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053895508 | NPI | - | NPPES |
1750768289 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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