| Family Counseling Of Newington, Pllc | |
|
39 Market Sq Fl 2 Newington CT 06111-2912 | |
| (860) 841-2559 | |
| (960) 371-3488 |
| Full Name | Family Counseling Of Newington, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 39 Market Sq Fl 2, Newington, Connecticut |
| Authorized Official Name and Position | Mitchell Kenneth Page (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8608412559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Of Newington, Pllc 39 Market Sq Fl 2 Newington CT 06111-2912 Ph: (860) 841-2559 | Family Counseling Of Newington, Pllc 39 Market Sq Fl 2 Newington CT 06111-2912 Ph: (860) 841-2559 |
| NPI Number | 1427615053 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/20/2019 |
| Medicare PECOS PAC ID | 8123355765 |
|---|---|
| Medicare Enrollment ID | O20190806000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427615053 | NPI | - | NPPES |
| 002042 | Other | CT | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mitchell K Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316127137 PECOS PAC ID: 3173600228 Enrollment ID: I20080414000434 |
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