| Macharia Psychotherapy Servicces, Llc | |
|
59 Kent St Milford CT 06461-2949 | |
| (203) 446-1848 | |
| Not Available |
| Full Name | Macharia Psychotherapy Servicces, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 59 Kent St, Milford, Connecticut |
| Authorized Official Name and Position | Grace Cullen (MEDICAL BILLING MANAGER) |
| Authorized Official Contact | 2033685515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macharia Psychotherapy Servicces, Llc 59 Kent St Milford CT 06461-2949 Ph: (203) 446-1848 | Macharia Psychotherapy Servicces, Llc 59 Kent St Milford CT 06461-2949 Ph: (203) 446-1848 |
| NPI Number | 1285105601 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285105601 | NPI | - | NPPES |
| 004069985 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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