| Room To Grow Counseling | |
|
915 Sullivan Ave South Windsor CT 06074-2164 | |
| (860) 681-1866 | |
| Not Available |
| Full Name | Room To Grow Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 915 Sullivan Ave, South Windsor, Connecticut |
| Authorized Official Name and Position | Patricia Segal (OWNER) |
| Authorized Official Contact | 8606811866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Room To Grow Counseling 6 River Bend Ln Windsor CT 06095-1617 Ph: (860) 681-1866 | Room To Grow Counseling 915 Sullivan Ave South Windsor CT 06074-2164 Ph: (860) 681-1866 |
| NPI Number | 1932806759 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/12/2023 |
| Medicare PECOS PAC ID | 4486195260 |
|---|---|
| Medicare Enrollment ID | O20240919003380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932806759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia Segal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174958672 PECOS PAC ID: 0547543720 Enrollment ID: I20170214000766 |
| Provider Name | Megan Rock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457948333 PECOS PAC ID: 5395286181 Enrollment ID: I20241025002675 |
| Provider Name | Diane Knox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750970844 PECOS PAC ID: 8921531773 Enrollment ID: I20241031002105 |
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