| Foundations Counseling, Llc | |
|
2911 Dixwell Ave Ste 105 Hamden CT 06518-3130 | |
| (860) 987-7408 | |
| Not Available |
| Full Name | Foundations Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2911 Dixwell Ave Ste 105, Hamden, Connecticut |
| Authorized Official Name and Position | Chrystal L Shoup Daquila (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8609877408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Counseling, Llc 44 Barrett St Hamden CT 06517-2503 Ph: (860) 987-7408 | Foundations Counseling, Llc 2911 Dixwell Ave Ste 105 Hamden CT 06518-3130 Ph: (860) 987-7408 |
| NPI Number | 1184111023 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184111023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 003065 (Connecticut) | Primary |
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