| Stallworth Counseling Services,llc | |
|
77 Chapman Ave Fl 3 Waterbury CT 06710-1309 | |
| (203) 568-5662 | |
| Not Available |
| Full Name | Stallworth Counseling Services,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 77 Chapman Ave Fl 3, Waterbury, Connecticut |
| Authorized Official Name and Position | Marcus A Stallworth (OWNER) |
| Authorized Official Contact | 2035685662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stallworth Counseling Services,llc 12 Snow Crystal Rd Naugatuck CT 06770-3527 Ph: (203) 568-5662 | Stallworth Counseling Services,llc 77 Chapman Ave Fl 3 Waterbury CT 06710-1309 Ph: (203) 568-5662 |
| NPI Number | 1689071417 |
|---|---|
| Provider Enumeration Date | 11/21/2014 |
| Last Update Date | 11/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689071417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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