| Hatina Terras, Lpc, Llc | |
|
300 State St Ste# 217 New London CT 06320-6126 | |
| (860) 938-0072 | |
| (860) 326-7986 |
| Full Name | Hatina Terras, Lpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 300 State St, New London, Connecticut |
| Authorized Official Name and Position | Hatina C Terras (OWNER) |
| Authorized Official Contact | 8609380072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hatina Terras, Lpc, Llc 300 State St Ste# 217 New London CT 06320-6126 Ph: (860) 938-0072 | Hatina Terras, Lpc, Llc 300 State St Ste# 217 New London CT 06320-6126 Ph: (860) 938-0072 |
| NPI Number | 1376936781 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 11/08/2015 |
| Medicare PECOS PAC ID | 2567809403 |
|---|---|
| Medicare Enrollment ID | O20240327000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376936781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002457 (Connecticut) | Primary |
| Provider Name | Hatina Terras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265863286 PECOS PAC ID: 3476990318 Enrollment ID: I20240327001099 |
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