| Patricia Giannattasio Counseling & Therapy Llc | |
|
461 Main St Niantic CT 06357-3103 | |
| (860) 501-3731 | |
| Not Available |
| Full Name | Patricia Giannattasio Counseling & Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 461 Main St, Niantic, Connecticut |
| Authorized Official Name and Position | Patricia Giannattasio (OWNER/LMFT) |
| Authorized Official Contact | 8605013731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Giannattasio Counseling & Therapy Llc 461 Main St Niantic CT 06357-3103 Ph: (860) 501-3731 | Patricia Giannattasio Counseling & Therapy Llc 461 Main St Niantic CT 06357-3103 Ph: (860) 501-3731 |
| NPI Number | 1063160919 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 7416394929 |
|---|---|
| Medicare Enrollment ID | O20240320000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063160919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Patricia Giannattasio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063049948 PECOS PAC ID: 0941647465 Enrollment ID: I20240320000954 |
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