| Llc | |
|
10 N. Main St Suite 204 West Hartford CT 06107 | |
| (860) 233-8111 | |
| (860) 236-2016 |
| Full Name | Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10 N. Main St, West Hartford, Connecticut |
| Authorized Official Name and Position | Susan E Peterman (OWNER) |
| Authorized Official Contact | 8602338111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Llc 10 N. Main St Suite 204 West Hartford CT 06107 Ph: (860) 233-8111 | Llc 10 N. Main St Suite 204 West Hartford CT 06107 Ph: (860) 233-8111 |
| NPI Number | 1356567341 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356567341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1631 (Connecticut) | Primary |
Phoenix Healing, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Main St Ste 107, West Hartford, CT 06107 Phone: 860-352-0813 | |
Geoff Genser, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 N Main St, 3rd Floor, West Hartford, CT 06107 Phone: 860-570-0877 Fax: 860-264-4737 | |
The Bridge Family Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Farmington Ave, West Hartford, CT 06107 Phone: 860-561-9635 | |
Hollie Barkoff Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Main St, Suite 107, West Hartford, CT 06107 Phone: 860-463-4243 | |
Sayuri Integrative Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Park Rd, West Hartford, CT 06119 Phone: 860-593-7243 | |
Ruth L. Jacobson, Ms, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St Ste 315, West Hartford, CT 06107 Phone: 860-604-3101 Fax: 860-658-6002 | |
Karen Scheel Holley Psyd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 45 S Main St Ste 70, West Hartford, CT 06107 Phone: 860-785-4232 |