| Family Services Of Eastern Connecticut, Llc | |
|
428 Hartford Tpke Suite 113 Vernon CT 06066 | |
| (860) 268-2086 | |
| Not Available |
| Full Name | Family Services Of Eastern Connecticut, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 428 Hartford Tpke, Vernon, Connecticut |
| Authorized Official Name and Position | Richard Griffiths (DIRECTOR) |
| Authorized Official Contact | 8609240796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services Of Eastern Connecticut, Llc 428 Hartford Tpke Suite 113 Vernon CT 06066-4841 Ph: (860) 268-2086 | Family Services Of Eastern Connecticut, Llc 428 Hartford Tpke Suite 113 Vernon CT 06066 Ph: (860) 268-2086 |
| NPI Number | 1093002966 |
|---|---|
| Provider Enumeration Date | 06/29/2011 |
| Last Update Date | 08/20/2018 |
| Medicare PECOS PAC ID | 9537303649 |
|---|---|
| Medicare Enrollment ID | O20130911000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093002966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001081 (Connecticut) | Primary |
| Provider Name | Tonesha N Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598288383 PECOS PAC ID: 6901161033 Enrollment ID: I20180521000968 |
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