| Integrated Counseling Solutions, Llc | |
|
363 Main St Ste 512 Middletown CT 06457-3359 | |
| (860) 373-8698 | |
| Not Available |
| Full Name | Integrated Counseling Solutions, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 363 Main St Ste 512, Middletown, Connecticut |
| Authorized Official Name and Position | Charlene Denise Keeler (PARTNER) |
| Authorized Official Contact | 8603738698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Solutions, Llc 32 Wood Acres Rd Amston CT 06231-1751 Ph: (860) 373-8698 | Integrated Counseling Solutions, Llc 363 Main St Ste 512 Middletown CT 06457-3359 Ph: (860) 373-8698 |
| NPI Number | 1639685456 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639685456 | NPI | - | NPPES |
| 1134555469 | Other | CONNECTICARE | |
| 1134555469 | Other | ANTHEM BLUE CROSS BLUE SHIELD | |
| 1134555469 | Medicaid | CT | |
| 1134555469 | Other | OPTIMUM | |
| 1134555469 | Other | AETNA | |
| 1134555469 | Other | HUSKY A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002445 (Connecticut) | Primary |
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