| Itherapy Anywhere Llc | |
|
28 Steven St Apt B West Hartford CT 06110-2616 | |
| (860) 952-9677 | |
| Not Available |
| Full Name | Itherapy Anywhere Llc |
|---|---|
| Speciality | Counselor |
| Location | 28 Steven St Apt B, West Hartford, Connecticut |
| Authorized Official Name and Position | Joy N Watkins (MANAGING MEMBER) |
| Authorized Official Contact | 8609529677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Itherapy Anywhere Llc 28 Steven St Apt B West Hartford CT 06110-2616 Ph: (860) 952-9677 | Itherapy Anywhere Llc 28 Steven St Apt B West Hartford CT 06110-2616 Ph: (860) 952-9677 |
| NPI Number | 1477278083 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Medicare PECOS PAC ID | 3678937752 |
|---|---|
| Medicare Enrollment ID | O20230907002092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477278083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kirsten Coveney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093867509 PECOS PAC ID: 4082840707 Enrollment ID: I20161025001951 |
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