Resilient Self Counseling Pllc | |
12 Pine Glen Rd Simsbury CT 06070-2714 | |
(860) 709-2244 | |
Not Available |
Full Name | Resilient Self Counseling Pllc |
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Speciality | Counselor |
Location | 12 Pine Glen Rd, Simsbury, Connecticut |
Authorized Official Name and Position | Cara Catherine Capizzano (OWNER) |
Authorized Official Contact | 8607092244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Resilient Self Counseling Pllc 42 Overlook Ter Simsbury CT 06070-2739 Ph: (860) 709-2244 | Resilient Self Counseling Pllc 12 Pine Glen Rd Simsbury CT 06070-2714 Ph: (860) 709-2244 |
NPI Number | 1326656752 |
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Provider Enumeration Date | 07/22/2020 |
Last Update Date | 05/06/2024 |
Certification Date | 05/06/2024 |
Medicare PECOS PAC ID | 3870913221 |
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Medicare Enrollment ID | O20201023001143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326656752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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