Flourishing Roots Therapy Llc | |
51 Sherman Hill Rd, Building A Suite 202 Woodbury CT 06798-0679 | |
(203) 364-4069 | |
Not Available |
Full Name | Flourishing Roots Therapy Llc |
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Speciality | Social Worker |
Location | 51 Sherman Hill Rd, Building A, Woodbury, Connecticut |
Authorized Official Name and Position | Floren Schertzer (SOCIAL WORKER/OWNER) |
Authorized Official Contact | 2039235078 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Flourishing Roots Therapy Llc 51 White Pine Rd Southbury CT 06488-2549 Ph: (203) 923-5078 | Flourishing Roots Therapy Llc 51 Sherman Hill Rd, Building A Suite 202 Woodbury CT 06798-0679 Ph: (203) 364-4069 |
NPI Number | 1528674819 |
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Provider Enumeration Date | 09/22/2020 |
Last Update Date | 09/22/2020 |
Certification Date | 09/22/2020 |
Medicare PECOS PAC ID | 0143615419 |
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Medicare Enrollment ID | O20220323002011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528674819 | NPI | - | NPPES |
008078864 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Floren Schertzer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689055717 PECOS PAC ID: 1052706322 Enrollment ID: I20220323002176 |
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