| Kelly Badyrka, Lpc, Llc | |
|
123 Farmington Ave Ste 177 Bristol CT 06010-4200 | |
| (860) 863-7170 | |
| Not Available |
| Full Name | Kelly Badyrka, Lpc, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 Farmington Ave Ste 177, Bristol, Connecticut |
| Authorized Official Name and Position | Kelly Jennifer Badyrka (SOLE MEMBER) |
| Authorized Official Contact | 8602728520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Badyrka, Lpc, Llc 123 Farmington Ave Ste 177 Bristol CT 06010-4200 Ph: () - | Kelly Badyrka, Lpc, Llc 123 Farmington Ave Ste 177 Bristol CT 06010-4200 Ph: (860) 863-7170 |
| NPI Number | 1902495963 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 12/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902495963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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