| 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 | 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 | 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 |
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