Sheryll Waring Lpc Ladc Llc | |
33 Pratt St Glastonbury CT 06033-1014 | |
(860) 933-5532 | |
(860) 430-6861 |
Full Name | Sheryll Waring Lpc Ladc Llc |
---|---|
Speciality | Counselor |
Location | 33 Pratt St, Glastonbury, Connecticut |
Authorized Official Name and Position | Sheryll Waring (OWNER) |
Authorized Official Contact | 8609335532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sheryll Waring Lpc Ladc Llc 1451 Diamond Lake Rd Glastonbury CT 06033-4048 Ph: (860) 933-5532 | Sheryll Waring Lpc Ladc Llc 33 Pratt St Glastonbury CT 06033-1014 Ph: (860) 933-5532 |
NPI Number | 1053852137 |
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Provider Enumeration Date | 03/09/2017 |
Last Update Date | 10/29/2024 |
Certification Date | 10/29/2024 |
Medicare PECOS PAC ID | 5597108977 |
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Medicare Enrollment ID | O20240213002933 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053852137 | NPI | - | NPPES |
1346405289 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Sheryll Ann Waring |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346405289 PECOS PAC ID: 8123461506 Enrollment ID: I20240213003127 |
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