| Pathways To Peace, Llc | |
|
7-9 Isaacs St Norwalk CT 06850-4102 | |
| (203) 673-9173 | |
| Not Available |
| Full Name | Pathways To Peace, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7-9 Isaacs St, Norwalk, Connecticut |
| Authorized Official Name and Position | Kathleen Roach-seperack (SOCIAL WORKER) |
| Authorized Official Contact | 2036739173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Peace, Llc 7-9 Isaacs St Norwalk CT 06850-4102 Ph: (203) 673-9173 | Pathways To Peace, Llc 7-9 Isaacs St Norwalk CT 06850-4102 Ph: (203) 673-9173 |
| NPI Number | 1770240368 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Medicare PECOS PAC ID | 6305227562 |
|---|---|
| Medicare Enrollment ID | O20220719002101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770240368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathleen Roach-seperack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780155119 PECOS PAC ID: 7113308370 Enrollment ID: I20220719002225 |
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