| Etherapy Of Connecticut, Llc | |
|
1062 Barnes Rd Ste 106 Wallingford CT 06492-6012 | |
| (860) 882-3268 | |
| (203) 265-0165 |
| Full Name | Etherapy Of Connecticut, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1062 Barnes Rd Ste 106, Wallingford, Connecticut |
| Authorized Official Name and Position | Justin Andrew Rogala (OWNER & PROVIDER) |
| Authorized Official Contact | 2033088739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etherapy Of Connecticut, Llc 126 Damascus Rd Branford CT 06405-3961 Ph: (860) 882-3268 | Etherapy Of Connecticut, Llc 1062 Barnes Rd Ste 106 Wallingford CT 06492-6012 Ph: (860) 882-3268 |
| NPI Number | 1851640163 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851640163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 006512 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 006512 (Connecticut) | Primary |
N.c.k., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Bull Ave, 7, Wallingford, CT 06492 Phone: 203-809-2455 | |
Jennifer Smith, Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 S Colony St, Wallingford, CT 06492 Phone: 860-581-0215 | |
Licenced Clinical Social Worker Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Mapleview Rd, Wallingford, CT 06492 Phone: 203-996-6732 | |
Amy Cave, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Mohawk Dr, Wallingford, CT 06492 Phone: 860-941-6159 | |
Compassion Coherence Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Mapleview Rd, Wallingford, CT 06492 Phone: 203-589-4826 Fax: 203-349-9216 | |
Jacqueline Mcnamee, Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Deer Run Rd, Wallingford, CT 06492 Phone: 203-815-9214 | |
Visiting Nurse Association Of Wallingford, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 N Plains Industrial Rd, Wallingford, CT 06492 Phone: 203-269-1475 Fax: 203-265-5357 |