| Pasos To Hope & Innercare - Therapy Center Llc | |
|
664 Prospect Ave West Hartford CT 06105-4255 | |
| (860) 438-9691 | |
| Not Available |
| Full Name | Pasos To Hope & Innercare - Therapy Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 664 Prospect Ave, West Hartford, Connecticut |
| Authorized Official Name and Position | Jannett Campos (OWNER) |
| Authorized Official Contact | 8604389691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasos To Hope & Innercare - Therapy Center Llc 239 Glen St Unit 4e New Britain CT 06051-3067 Ph: (860) 438-9691 | Pasos To Hope & Innercare - Therapy Center Llc 664 Prospect Ave West Hartford CT 06105-4255 Ph: (860) 438-9691 |
| NPI Number | 1639884554 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 8921472382 |
|---|---|
| Medicare Enrollment ID | O20230327000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639884554 | NPI | - | NPPES |
| 1982913695 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jannett Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982913695 PECOS PAC ID: 0547664377 Enrollment ID: I20210802001303 |
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