| Magnolia Counseling Llc | |
|
11 High St Ste 202 Suffield CT 06078-2125 | |
| (860) 668-1444 | |
| (860) 668-1446 |
| Full Name | Magnolia Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11 High St Ste 202, Suffield, Connecticut |
| Authorized Official Name and Position | Anna Davenport (LICENSED MARITAL & FAMILY THERAPIST) |
| Authorized Official Contact | 8606681444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling Llc 11 High St Ste 202 Suffield CT 06078-2125 Ph: (860) 668-1444 | Magnolia Counseling Llc 11 High St Ste 202 Suffield CT 06078-2125 Ph: (860) 668-1444 |
| NPI Number | 1922435593 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 12/16/2023 |
| Certification Date | 12/16/2023 |
| Medicare PECOS PAC ID | 8527403609 |
|---|---|
| Medicare Enrollment ID | O20240228002606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922435593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000724 (Connecticut) | Primary |
| Provider Name | Anna C Davenport |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689942336 PECOS PAC ID: 2163867243 Enrollment ID: I20240228002666 |
North Central Connecticut Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230b Mountain Rd, Suffield, CT 06078 Phone: 413-478-1764 | |
Psychological Health Center Of Suffield, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 230b Mountain Rd, Lower Level, Suffield, CT 06078 Phone: 860-254-5991 | |
Lightheart Institute, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Bridge St Ste 203a, Suffield, CT 06078 Phone: 860-254-5582 Fax: 860-254-5508 | |
North Central Connecticut Psychotherapy Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 Burbank Ave, Suffield, CT 06078 Phone: 413-478-1764 | |
Dahlia Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Mountain Road, 2nd Floor, Suffield, CT 06078 Phone: 860-370-5061 | |
Therigatha Center For Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Bridge St Unit 301, Suffield, CT 06078 Phone: 860-392-9599 Fax: 860-545-7473 | |
Js Therapeutic Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Mountain Rd Ste 9, Suffield, CT 06078 Phone: 860-281-1101 |