Emmaus,llc | |
131 Saddlebrook Path Southington CT 06489-4423 | |
(860) 621-6023 | |
Not Available |
Full Name | Emmaus,llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 131 Saddlebrook Path, Southington, Connecticut |
Authorized Official Name and Position | Anna Marie Lopiccolo (PRESIDENT) |
Authorized Official Contact | 8603842552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Emmaus,llc 131 Saddlebrook Path Southington CT 06489-4423 Ph: (860) 621-6023 | Emmaus,llc 131 Saddlebrook Path Southington CT 06489-4423 Ph: (860) 621-6023 |
NPI Number | 1912932344 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 11/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912932344 | NPI | - | NPPES |
004244125 | Medicaid | CT | |
62-59512 | Other | CT | UBH PROVIDER NUMBER |
410000779CT01 | Other | CT | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | CT000779 (Connecticut) | Primary |
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