| Empowering Lives Counseling Llc | |
|
49 Broad St Plainville CT 06062-4201 | |
| (720) 530-7186 | |
| Not Available |
| Full Name | Empowering Lives Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 49 Broad St, Plainville, Connecticut |
| Authorized Official Name and Position | Kristen Vavrek (CO-OWNER) |
| Authorized Official Contact | 7205307186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Lives Counseling Llc 160 Pinnacle Rd Bristol CT 06010-2219 Ph: (720) 530-7186 | Empowering Lives Counseling Llc 49 Broad St Plainville CT 06062-4201 Ph: (720) 530-7186 |
| NPI Number | 1922606847 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Medicare PECOS PAC ID | 3274941976 |
|---|---|
| Medicare Enrollment ID | O20210419001200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922606847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristen B Vavrek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003364225 PECOS PAC ID: 4284914011 Enrollment ID: I20161213000949 |
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