| Real Talk Ct | |
|
258 Spielman Hwy Burlington CT 06013-1723 | |
| (860) 325-0579 | |
| Not Available |
| Full Name | Real Talk Ct |
|---|---|
| Speciality | Counselor |
| Location | 258 Spielman Hwy, Burlington, Connecticut |
| Authorized Official Name and Position | Ryan Mcguire (OWNER) |
| Authorized Official Contact | 8607295988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Talk Ct 258 Spielman Hwy Burlington CT 06013-1723 Ph: (860) 325-0579 | Real Talk Ct 258 Spielman Hwy Burlington CT 06013-1723 Ph: (860) 325-0579 |
| NPI Number | 1467948752 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 5395182554 |
|---|---|
| Medicare Enrollment ID | O20240322003292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467948752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2668 (Connecticut) | Primary |
| Provider Name | Katherine Bothos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114254836 PECOS PAC ID: 6204197312 Enrollment ID: I20180307000748 |
| Provider Name | Michele Jakab |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710644133 PECOS PAC ID: 0446640825 Enrollment ID: I20211126000037 |
| Provider Name | Carla Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609184852 PECOS PAC ID: 4082054499 Enrollment ID: I20240502002035 |
| Provider Name | Veronica A Dotson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952876302 PECOS PAC ID: 7719327873 Enrollment ID: I20240507000139 |
| Provider Name | Alison Foito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457022816 PECOS PAC ID: 2264874452 Enrollment ID: I20240520001245 |
| Provider Name | Shannon Little |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306401005 PECOS PAC ID: 7416399373 Enrollment ID: I20240523000226 |
| Provider Name | Ryan Mcguire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285021204 PECOS PAC ID: 3779925383 Enrollment ID: I20240529000663 |
| Provider Name | Danielle Ternullo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457086423 PECOS PAC ID: 5294277554 Enrollment ID: I20240603001753 |
| Provider Name | Kurtis Garvin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205324084 PECOS PAC ID: 8729522057 Enrollment ID: I20240627003104 |
| Provider Name | Debra Morra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699806976 PECOS PAC ID: 5698839215 Enrollment ID: I20240708001200 |
| Provider Name | Julianne Kivlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780338996 PECOS PAC ID: 2769927540 Enrollment ID: I20240717000227 |
| Provider Name | Alana J Farnsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093438400 PECOS PAC ID: 4880132778 Enrollment ID: I20240809001308 |
| Provider Name | Julia Liptak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336710037 PECOS PAC ID: 8224576921 Enrollment ID: I20240813001852 |
| Provider Name | Sarah Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538866561 PECOS PAC ID: 3476091877 Enrollment ID: I20240816000747 |
| Provider Name | Merissa Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811606932 PECOS PAC ID: 3678012168 Enrollment ID: I20240828002665 |
| Provider Name | Chante P Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184443327 PECOS PAC ID: 9931631066 Enrollment ID: I20241015000867 |
| Provider Name | Ifeyinwa Utoh-ofodile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364612 PECOS PAC ID: 6406388016 Enrollment ID: I20241021000290 |
| Provider Name | Pamela Nicole Martin Line |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275371577 PECOS PAC ID: 0345772919 Enrollment ID: I20241021002958 |
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