| The Family Counseling & Mediation Center, Llc | |
|
435 New Haven Ave Derby CT 06418-2534 | |
| (203) 736-6734 | |
| (203) 736-6734 |
| Full Name | The Family Counseling & Mediation Center, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 435 New Haven Ave, Derby, Connecticut |
| Authorized Official Name and Position | Karlene Chisholm (OWNER) |
| Authorized Official Contact | 2037366734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Counseling & Mediation Center, Llc 435 New Haven Ave Derby CT 06418-2534 Ph: (203) 736-6734 | The Family Counseling & Mediation Center, Llc 435 New Haven Ave Derby CT 06418-2534 Ph: (203) 736-6734 |
| NPI Number | 1245448323 |
|---|---|
| Provider Enumeration Date | 05/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245448323 | NPI | - | NPPES |
| 410001119CT02 | Other | CT | ANTHEM |
| 316439 | Other | CT | MHN |
| 7732883 | Other | CT | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001119 (Connecticut) | Primary |
| 106H00000X | Marriage & Family Therapist | 001119 (Connecticut) | Primary |
Jacquelyn Carrano, Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 Derby Ave Unit 511, Derby, CT 06418 Phone: 203-444-0412 | |
Joseph B. Guarnaccia, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Mstc, C/o Griffin Hospital, Derby, CT 06418 Phone: 203-732-1290 Fax: 302-732-1299 | |
The Griffin Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7360 Fax: 203-732-7386 | |
Lower Naugatuck Valley Parent Child Resource Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Elizabeth St, 3rd Floor, Derby, CT 06418 Phone: 203-954-0543 Fax: 203-954-0544 | |
Sunrise Med Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-872-2131 | |
Two Rivers Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Sodom Ln, Derby, CT 06418 Phone: 475-777-4622 |