Lj Behavioral Health Counseling Llc | |
224 Farmstead Rd Southington CT 06489-2462 | |
(860) 324-6289 | |
Not Available |
Full Name | Lj Behavioral Health Counseling Llc |
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Speciality | Counselor |
Location | 224 Farmstead Rd, Southington, Connecticut |
Authorized Official Name and Position | Laura Jakabauski (OWNER) |
Authorized Official Contact | 8603246289 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lj Behavioral Health Counseling Llc 224 Farmstead Rd Southington CT 06489-2462 Ph: (860) 324-6289 | Lj Behavioral Health Counseling Llc 224 Farmstead Rd Southington CT 06489-2462 Ph: (860) 324-6289 |
NPI Number | 1700021300 |
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Provider Enumeration Date | 12/10/2008 |
Last Update Date | 02/29/2024 |
Certification Date | 02/29/2024 |
Medicare PECOS PAC ID | 4587004122 |
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Medicare Enrollment ID | O20240430003561 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700021300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Laura Jakabauski |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245286582 PECOS PAC ID: 7719328731 Enrollment ID: I20240508002357 |
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