| Journey To New Beginnings Llc. | |
|
1224 Mill St Ste 224 East Berlin CT 06023-1159 | |
| (860) 398-4419 | |
| Not Available |
| Full Name | Journey To New Beginnings Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 1224 Mill St Ste 224, East Berlin, Connecticut |
| Authorized Official Name and Position | Melinda Maria Gladden (OWNER) |
| Authorized Official Contact | 3472515928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To New Beginnings Llc. 1224 Mill St Ste 224 East Berlin CT 06023-1159 Ph: (860) 398-4419 | Journey To New Beginnings Llc. 1224 Mill St Ste 224 East Berlin CT 06023-1159 Ph: (860) 398-4419 |
| NPI Number | 1255065157 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Medicare PECOS PAC ID | 6507238805 |
|---|---|
| Medicare Enrollment ID | O20230215000735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255065157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melinda Maria Gladden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720513757 PECOS PAC ID: 3779860168 Enrollment ID: I20230215000859 |
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