| Life's Journey Counseling Llc | |
|
70 Main St Griswold CT 06351-2226 | |
| (860) 634-0967 | |
| Not Available |
| Full Name | Life's Journey Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 70 Main St, Griswold, Connecticut |
| Authorized Official Name and Position | Nicholas Gaughan (OWNER) |
| Authorized Official Contact | 8606340967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life's Journey Counseling Llc Po Box 296 Rogers CT 06263-0296 Ph: (860) 634-0967 | Life's Journey Counseling Llc 70 Main St Griswold CT 06351-2226 Ph: (860) 634-0967 |
| NPI Number | 1285239228 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Medicare PECOS PAC ID | 6507208758 |
|---|---|
| Medicare Enrollment ID | O20240521000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285239228 | NPI | - | NPPES |
| Provider Name | Richard J Conover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891010468 PECOS PAC ID: 9537299193 Enrollment ID: I20100609000453 |
| Provider Name | Erin Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780991117 PECOS PAC ID: 2466876636 Enrollment ID: I20211222002162 |
| Provider Name | Nicholas Gaughan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093071136 PECOS PAC ID: 5890138317 Enrollment ID: I20240212001664 |
| Provider Name | Hali Michelle Vaclavik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124649298 PECOS PAC ID: 4789120031 Enrollment ID: I20240723000628 |
| Provider Name | Kennyshka Kouwenhoven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376399246 PECOS PAC ID: 9830638865 Enrollment ID: I20240822000826 |
| Provider Name | Timothy B Cormier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326090861 PECOS PAC ID: 2961934997 Enrollment ID: I20241016000761 |
Healing The Culture Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Elm St, Griswold, CT 06351 Phone: 860-869-9302 |