| Gladys' Counseling Place, Pllc-where Life's Moments Make You Stronger | |
|
240 Orchard Hill Dr South Windsor CT 06074-3025 | |
| (860) 490-8384 | |
| Not Available |
| Full Name | Gladys' Counseling Place, Pllc-where Life's Moments Make You Stronger |
|---|---|
| Speciality | Social Worker |
| Location | 240 Orchard Hill Dr, South Windsor, Connecticut |
| Authorized Official Name and Position | Marie A.c. Cortez (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8604908384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gladys' Counseling Place, Pllc-where Life's Moments Make You Stronger 240 Orchard Hill Dr South Windsor CT 06074-3025 Ph: (860) 490-8384 | Gladys' Counseling Place, Pllc-where Life's Moments Make You Stronger 240 Orchard Hill Dr South Windsor CT 06074-3025 Ph: (860) 490-8384 |
| NPI Number | 1386144178 |
|---|---|
| Provider Enumeration Date | 02/18/2018 |
| Last Update Date | 02/18/2018 |
| Medicare PECOS PAC ID | 6800245234 |
|---|---|
| Medicare Enrollment ID | O20231212000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386144178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009597 (Connecticut) | Primary |
| Provider Name | Marie A.c. Cortez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932609724 PECOS PAC ID: 2163871500 Enrollment ID: I20231212000222 |
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