| Recovery Twelve Solutions, Inc. | |
|
151 Montauk Ave New London CT 06320-4842 | |
| (860) 940-4027 | |
| Not Available |
| Full Name | Recovery Twelve Solutions, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 151 Montauk Ave, New London, Connecticut |
| Authorized Official Name and Position | Janice Gerry (MANAGER/ OWNER) |
| Authorized Official Contact | 8609404027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Twelve Solutions, Inc. 151 Montauk Ave New London CT 06320-4842 Ph: () - | Recovery Twelve Solutions, Inc. 151 Montauk Ave New London CT 06320-4842 Ph: (860) 940-4027 |
| NPI Number | 1821754649 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Medicare PECOS PAC ID | 2860846375 |
|---|---|
| Medicare Enrollment ID | O20231002001408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821754649 | NPI | - | NPPES |
| Provider Name | Samantha G Ball-taetsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457693269 PECOS PAC ID: 1254575186 Enrollment ID: I20180404000840 |
| Provider Name | Leah Wessels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811571854 PECOS PAC ID: 6800262296 Enrollment ID: I20221027000544 |
| Provider Name | Marie K Vargo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295400562 PECOS PAC ID: 2466806989 Enrollment ID: I20231002001979 |
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