| Journey To You, Llc | |
|
70 Main St Jewett City CT 06351-2226 | |
| (860) 917-4631 | |
| Not Available |
| Full Name | Journey To You, Llc |
|---|---|
| Speciality | Counselor |
| Location | 70 Main St, Jewett City, Connecticut |
| Authorized Official Name and Position | Stephanie Gill-manville (OWNER/CLILNICIAN) |
| Authorized Official Contact | 8609174631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To You, Llc 70 Main St Jewett City CT 06351-2226 Ph: (860) 917-4631 | Journey To You, Llc 70 Main St Jewett City CT 06351-2226 Ph: (860) 917-4631 |
| NPI Number | 1215634662 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 5092257352 |
|---|---|
| Medicare Enrollment ID | O20240603001802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215634662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Stephanie Gill-manville |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376795112 PECOS PAC ID: 1951745082 Enrollment ID: I20240216002456 |
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