Harborside Counseling, Llc | |
76 Buttonwood Rd Hebron CT 06248-1551 | |
(860) 575-5552 | |
Not Available |
Full Name | Harborside Counseling, Llc |
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Speciality | Social Worker |
Location | 76 Buttonwood Rd, Hebron, Connecticut |
Authorized Official Name and Position | Catherine A Morgan (OWNER) |
Authorized Official Contact | 8605755552 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Harborside Counseling, Llc 76 Buttonwood Rd Hebron CT 06248-1551 Ph: (860) 575-5552 | Harborside Counseling, Llc 76 Buttonwood Rd Hebron CT 06248-1551 Ph: (860) 575-5552 |
NPI Number | 1093175135 |
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Provider Enumeration Date | 03/02/2016 |
Last Update Date | 06/02/2024 |
Certification Date | 06/02/2024 |
Medicare PECOS PAC ID | 3870885924 |
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Medicare Enrollment ID | O20160711000225 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093175135 | NPI | - | NPPES |
004320 | Other | CT | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 004320 (Connecticut) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Catherine A Morgan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730140971 PECOS PAC ID: 4789976838 Enrollment ID: I20160711000335 |
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