| Piece To Peace, Llc | |
|
609 West Johnson Avenue Third Floor Cheshire CT 06410 | |
| (860) 881-6436 | |
| Not Available |
| Full Name | Piece To Peace, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 609 West Johnson Avenue, Cheshire, Connecticut |
| Authorized Official Name and Position | Coretta Gilbert (OWNER/THERAPIST) |
| Authorized Official Contact | 8608816436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piece To Peace, Llc 51 Park Avenue Bloomfield CT 06002 Ph: (860) 881-6436 | Piece To Peace, Llc 609 West Johnson Avenue Third Floor Cheshire CT 06410 Ph: (860) 881-6436 |
| NPI Number | 1013549252 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Medicare PECOS PAC ID | 0446662894 |
|---|---|
| Medicare Enrollment ID | O20201209001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013549252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Coretta Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962924498 PECOS PAC ID: 1355753708 Enrollment ID: I20201209002123 |
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