| Simple Talks Counseling Llc | |
|
627 Main St Ste 2 Manchester CT 06040-5181 | |
| (860) 324-0042 | |
| Not Available |
| Full Name | Simple Talks Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 627 Main St Ste 2, Manchester, Connecticut |
| Authorized Official Name and Position | Edward Gonzalez (CEO) |
| Authorized Official Contact | 5166522100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Talks Counseling Llc 1329 Burnside Ave Apt B3 East Hartford CT 06108-1575 Ph: (516) 652-2100 | Simple Talks Counseling Llc 627 Main St Ste 2 Manchester CT 06040-5181 Ph: (860) 324-0042 |
| NPI Number | 1770231409 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Medicare PECOS PAC ID | 6709273733 |
|---|---|
| Medicare Enrollment ID | O20220421002229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770231409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Edward Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346654399 PECOS PAC ID: 6901214790 Enrollment ID: I20210415001377 |
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