| Present Awareness, Llc | |
|
124 Simsbury Rd Avon CT 06001-3743 | |
| (860) 752-8281 | |
| Not Available |
| Full Name | Present Awareness, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 124 Simsbury Rd, Avon, Connecticut |
| Authorized Official Name and Position | Katherine Grace Winiarski (OWNER) |
| Authorized Official Contact | 8607528281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Present Awareness, Llc 17 Mallard Cir Tariffville CT 06081-9673 Ph: (860) 752-8281 | Present Awareness, Llc 124 Simsbury Rd Avon CT 06001-3743 Ph: (860) 752-8281 |
| NPI Number | 1942754148 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 08/05/2016 |
| Medicare PECOS PAC ID | 1052688363 |
|---|---|
| Medicare Enrollment ID | O20170517000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942754148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7376 (Connecticut) | Primary |
| Provider Name | Katherine G Winiarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023328655 PECOS PAC ID: 0547426959 Enrollment ID: I20120730000099 |
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