| Paul Battles Llc | |
|
149 Durham Rd Ste 26 Madison CT 06443-2664 | |
| (203) 208-6038 | |
| Not Available |
| Full Name | Paul Battles Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 149 Durham Rd Ste 26, Madison, Connecticut |
| Authorized Official Name and Position | Paul Battles (OWNER) |
| Authorized Official Contact | 2036688660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Battles Llc 26 Stone St Branford CT 06405-6242 Ph: (203) 668-8660 | Paul Battles Llc 149 Durham Rd Ste 26 Madison CT 06443-2664 Ph: (203) 208-6038 |
| NPI Number | 1548913742 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/28/2022 |
| Certification Date | 01/28/2022 |
| Medicare PECOS PAC ID | 1153769237 |
|---|---|
| Medicare Enrollment ID | O20240409002369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548913742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Paul Battles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992320741 PECOS PAC ID: 2062850142 Enrollment ID: I20240416001592 |
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