Planting The Seed Inc. | |
5 Westview Dr. Apt E Bloomfield CT 06002-7004 | |
(860) 368-8905 | |
Not Available |
Full Name | Planting The Seed Inc. |
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Speciality | Clinic/Center |
Location | 5 Westview Dr. Apt E, Bloomfield, Connecticut |
Authorized Official Name and Position | Tamanique Byrd (FOUNDER, CEO) |
Authorized Official Contact | 8603688905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Planting The Seed Inc. Po Box 3396 Enfield CT 06083-3396 Ph: (860) 368-8905 | Planting The Seed Inc. 5 Westview Dr. Apt E Bloomfield CT 06002-7004 Ph: (860) 368-8905 |
NPI Number | 1053983015 |
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Provider Enumeration Date | 07/10/2021 |
Last Update Date | 06/26/2023 |
Certification Date | 06/26/2023 |
Medicare PECOS PAC ID | 5991103392 |
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Medicare Enrollment ID | O20211015002188 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053983015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Tamanique Troynelle-alice Byrd |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528581485 PECOS PAC ID: 5294133690 Enrollment ID: I20211015002142 |
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