| Southeast Counseling Associates, Ltd. | |
|
185 S Broad St Ste 103 Pawcatuck CT 06379-1997 | |
| (860) 599-2125 | |
| (401) 322-0883 |
| Full Name | Southeast Counseling Associates, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 185 S Broad St Ste 103, Pawcatuck, Connecticut |
| Authorized Official Name and Position | Herbert Nieburg (PRESIDENT) |
| Authorized Official Contact | 8605992125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Counseling Associates, Ltd. 185 S Broad St Ste 103 Pawcatuck CT 06379-1997 Ph: (860) 599-2125 | Southeast Counseling Associates, Ltd. 185 S Broad St Ste 103 Pawcatuck CT 06379-1997 Ph: (860) 599-2125 |
| NPI Number | 1790956365 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/21/2008 |
| Medicare PECOS PAC ID | 0345273496 |
|---|---|
| Medicare Enrollment ID | O20171006002342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790956365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 000880 (Connecticut) | Primary |
| Provider Name | Lise Mayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609985886 PECOS PAC ID: 2860425915 Enrollment ID: I20171113000035 |
Julie Guiher, Psy.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Pawcatuck, CT 06379 Phone: 860-334-0219 | |
Southeast Counseling Associates, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 401-465-2914 Fax: 401-322-0883 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 S Broad St, Pawcatuck, CT 06379 Phone: 860-437-4550 Fax: 860-661-4262 | |
Se Counseling Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 860-599-2125 | |
Southeast Counseling Associates,ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 860-599-2125 Fax: 401-322-0883 | |
Shaune Martin Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 43 W Broad St Unit 1, Pawcatuck, CT 06379 Phone: 860-245-8548 |