| Professional Supportive Counseling Services Llc | |
|
360 Bloomfield Ave Ste 301 Windsor CT 06095-2700 | |
| (186) 607-3285 | |
| (860) 569-7015 |
| Full Name | Professional Supportive Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 360 Bloomfield Ave Ste 301, Windsor, Connecticut |
| Authorized Official Name and Position | Norma Joy B-mullings (OWNER) |
| Authorized Official Contact | 8603240808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Supportive Counseling Services Llc 368 Oconnell Dr East Hartford CT 06118-3445 Ph: (186) 324-0808 | Professional Supportive Counseling Services Llc 360 Bloomfield Ave Ste 301 Windsor CT 06095-2700 Ph: (186) 607-3285 |
| NPI Number | 1558137349 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 3072965318 |
|---|---|
| Medicare Enrollment ID | O20240123000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558137349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Norma J B-mullings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306446190 PECOS PAC ID: 9133572035 Enrollment ID: I20240126003002 |
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