| Summit Counseling Llc | |
|
43 Swantown Rd Preston CT 06365-8134 | |
| (860) 917-5054 | |
| Not Available |
| Full Name | Summit Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 43 Swantown Rd, Preston, Connecticut |
| Authorized Official Name and Position | Laura Hetherington (MANAGING MEMBER) |
| Authorized Official Contact | 8609175054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Counseling Llc 43 Swantown Rd Preston CT 06365-8134 Ph: (860) 917-5054 | Summit Counseling Llc 43 Swantown Rd Preston CT 06365-8134 Ph: (860) 917-5054 |
| NPI Number | 1871874537 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 09/07/2011 |
| Medicare PECOS PAC ID | 1254550569 |
|---|---|
| Medicare Enrollment ID | O20140919000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871874537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 006610 (Connecticut) | Primary |
| Provider Name | Laura Hetherington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649288655 PECOS PAC ID: 8527287846 Enrollment ID: I20140919000129 |
Lotus Moon Counseling Centre Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Route 2, Preston, CT 06365 Phone: 860-859-3341 Fax: 860-760-6666 |