| Path To Hope & Healing Llc | |
|
23 School House Rd Old Saybrook CT 06475-4043 | |
| (203) 974-3746 | |
| Not Available |
| Full Name | Path To Hope & Healing Llc |
|---|---|
| Speciality | Social Worker |
| Location | 23 School House Rd, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Elizabeth Fernandes (OWNER/LCSW) |
| Authorized Official Contact | 2039743746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Hope & Healing Llc Po Box 1188 Old Saybrook CT 06475-5188 Ph: (203) 974-3746 | Path To Hope & Healing Llc 23 School House Rd Old Saybrook CT 06475-4043 Ph: (203) 974-3746 |
| NPI Number | 1174213797 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Medicare PECOS PAC ID | 5799145157 |
|---|---|
| Medicare Enrollment ID | O20230717001918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174213797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Fernandes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851697650 PECOS PAC ID: 2668658824 Enrollment ID: I20110524000241 |
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