| Scantic Valley Counseling, Llc | |
|
17 Grant Dr Somers CT 06071-1062 | |
| (203) 788-5824 | |
| Not Available |
| Full Name | Scantic Valley Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Grant Dr, Somers, Connecticut |
| Authorized Official Name and Position | Allison Maynard (CLINICIAN) |
| Authorized Official Contact | 2037885824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scantic Valley Counseling, Llc 17 Grant Drive Somers CT 06071 Ph: (203) 788-5824 | Scantic Valley Counseling, Llc 17 Grant Dr Somers CT 06071-1062 Ph: (203) 788-5824 |
| NPI Number | 1417730755 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Medicare PECOS PAC ID | 5597117523 |
|---|---|
| Medicare Enrollment ID | O20240116001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417730755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allison Maynard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699123984 PECOS PAC ID: 8729430509 Enrollment ID: I20240117002024 |
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