| Resource Center | |
|
14 S Main St Thomaston CT 06787-1734 | |
| (203) 578-5072 | |
| Not Available |
| Full Name | Resource Center |
|---|---|
| Speciality | Counselor |
| Location | 14 S Main St, Thomaston, Connecticut |
| Authorized Official Name and Position | Herbert L Hall (OWNER) |
| Authorized Official Contact | 2035785072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resource Center 14 S Main St Thomaston CT 06787-1734 Ph: (203) 578-5072 | Resource Center 14 S Main St Thomaston CT 06787-1734 Ph: (203) 578-5072 |
| NPI Number | 1073914578 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 04/21/2015 |
| Medicare PECOS PAC ID | 6608195052 |
|---|---|
| Medicare Enrollment ID | O20150506000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073914578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001328 (Connecticut) | Primary |
| 1041C0700X | Social Worker - Clinical | 005428 (Connecticut) | Secondary |
| Provider Name | Randi N Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346487196 PECOS PAC ID: 0840519294 Enrollment ID: I20150506001064 |
| Provider Name | Herbert Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699912485 PECOS PAC ID: 9436135613 Enrollment ID: I20240227003324 |
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