| New Leaf Counseling Center Llc | |
|
375 Mather St Ste 11 Hamden CT 06514-3101 | |
| (203) 601-2775 | |
| Not Available |
| Full Name | New Leaf Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 375 Mather St Ste 11, Hamden, Connecticut |
| Authorized Official Name and Position | Rachel Cushion (PARTNER) |
| Authorized Official Contact | 2036012775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Counseling Center Llc 375 Mather St Ste 11 Hamden CT 06514-3101 Ph: (203) 601-2775 | New Leaf Counseling Center Llc 375 Mather St Ste 11 Hamden CT 06514-3101 Ph: (203) 601-2775 |
| NPI Number | 1356930291 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 6709283021 |
|---|---|
| Medicare Enrollment ID | O20210928003733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356930291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rachel Cushion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710345327 PECOS PAC ID: 1355604943 Enrollment ID: I20180412001776 |
| Provider Name | Marielle Daddona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821512260 PECOS PAC ID: 1557694353 Enrollment ID: I20190611000816 |
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