| Shante Powers Gaskins Lcsw Llc | |
|
49 Frederick Dr Coventry CT 06238-3624 | |
| (860) 580-9631 | |
| Not Available |
| Full Name | Shante Powers Gaskins Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 49 Frederick Dr, Coventry, Connecticut |
| Authorized Official Name and Position | Shante Powers-gaskins (OWNER) |
| Authorized Official Contact | 8605809631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shante Powers Gaskins Lcsw Llc 49 Frederick Dr Coventry CT 06238-3624 Ph: (860) 580-9631 | Shante Powers Gaskins Lcsw Llc 49 Frederick Dr Coventry CT 06238-3624 Ph: (860) 580-9631 |
| NPI Number | 1831839075 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831839075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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