| Stars Of Love And Light | |
|
125 Greenwood Ave Ph 2nd Bethel CT 06801-2586 | |
| (203) 240-1662 | |
| Not Available |
| Full Name | Stars Of Love And Light |
|---|---|
| Speciality | Social Worker |
| Location | 125 Greenwood Ave Ph 2nd, Bethel, Connecticut |
| Authorized Official Name and Position | Jacqueline Texidor (MENTAL HEALTH CLINCIAN) |
| Authorized Official Contact | 2032411662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stars Of Love And Light 34 Barker Rd New Milford CT 06776-4902 Ph: (203) 240-1662 | Stars Of Love And Light 125 Greenwood Ave Ph 2nd Bethel CT 06801-2586 Ph: (203) 240-1662 |
| NPI Number | 1588283378 |
|---|---|
| Provider Enumeration Date | 04/11/2020 |
| Last Update Date | 04/11/2020 |
| Certification Date | 04/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588283378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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