| Hope & Resiliency Counseling Llc | |
|
428 Long Hill Rd Ste 201 Groton CT 06340-3811 | |
| (860) 333-8765 | |
| Not Available |
| Full Name | Hope & Resiliency Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 428 Long Hill Rd Ste 201, Groton, Connecticut |
| Authorized Official Name and Position | Terri Fogg Donovan (OFFICE MANAGER) |
| Authorized Official Contact | 8605359922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope & Resiliency Counseling Llc 24 Campbell Dr Canterbury CT 06331-1807 Ph: (860) 333-8765 | Hope & Resiliency Counseling Llc 428 Long Hill Rd Ste 201 Groton CT 06340-3811 Ph: (860) 333-8765 |
| NPI Number | 1013547694 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Medicare PECOS PAC ID | 6608203518 |
|---|---|
| Medicare Enrollment ID | O20200304002750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013547694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Crystal Mackinnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275812372 PECOS PAC ID: 4789803537 Enrollment ID: I20140910000914 |
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