It Is Time, Llc | |
246 Federal Rd Brookfield CT 06804-2647 | |
(203) 942-6687 | |
Not Available |
Full Name | It Is Time, Llc |
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Speciality | Social Worker |
Location | 246 Federal Rd, Brookfield, Connecticut |
Authorized Official Name and Position | Tracey M Gonzalez (PRESIDENT/CEO) |
Authorized Official Contact | 2039426687 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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It Is Time, Llc Po Box 4181 Danbury CT 06813-4181 Ph: (203) 942-6687 | It Is Time, Llc 246 Federal Rd Brookfield CT 06804-2647 Ph: (203) 942-6687 |
NPI Number | 1497148696 |
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Provider Enumeration Date | 03/11/2015 |
Last Update Date | 03/13/2015 |
Medicare PECOS PAC ID | 7719272277 |
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Medicare Enrollment ID | O20160823000631 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497148696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007507 (Connecticut) | Primary |
Provider Name | Tracey M Gonzalez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902170517 PECOS PAC ID: 4688969140 Enrollment ID: I20160823000862 |
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