| Life Stages Counseling And Consultation Llc | |
|
621 Main St Fl 2 Watertown CT 06795-2627 | |
| (203) 430-0315 | |
| (203) 951-8211 |
| Full Name | Life Stages Counseling And Consultation Llc |
|---|---|
| Speciality | Counselor |
| Location | 621 Main St Fl 2, Watertown, Connecticut |
| Authorized Official Name and Position | Lisa A Leogrande (OWNER) |
| Authorized Official Contact | 2034300315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Stages Counseling And Consultation Llc 76 Deepwood Dr Waterbury CT 06708-2907 Ph: (203) 430-0315 | Life Stages Counseling And Consultation Llc 621 Main St Fl 2 Watertown CT 06795-2627 Ph: (203) 430-0315 |
| NPI Number | 1952125221 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 9335674472 |
|---|---|
| Medicare Enrollment ID | O20241126000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952125221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Lisa A Leogrande |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316091267 PECOS PAC ID: 7416482559 Enrollment ID: I20241126001050 |
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