| Thiel Mental Health Services Llc | |
|
10 Steele Blvd Ste 2 Berlin CT 06037-2363 | |
| (860) 407-5375 | |
| Not Available |
| Full Name | Thiel Mental Health Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10 Steele Blvd Ste 2, Berlin, Connecticut |
| Authorized Official Name and Position | Erika Thiel (SOLE PROPRIETOR) |
| Authorized Official Contact | 8604075375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thiel Mental Health Services Llc 10 Steele Blvd Ste 2 Berlin CT 06037-2363 Ph: () - | Thiel Mental Health Services Llc 10 Steele Blvd Ste 2 Berlin CT 06037-2363 Ph: (860) 407-5375 |
| NPI Number | 1609342484 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 6608316864 |
|---|---|
| Medicare Enrollment ID | O20240913003412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609342484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Erika Thiel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598203176 PECOS PAC ID: 9234679499 Enrollment ID: I20240913003511 |
| Provider Name | Breanne Schnepf-hanbury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306219159 PECOS PAC ID: 5890236012 Enrollment ID: I20240916001091 |
| Provider Name | Emma Jill Cohen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497464366 PECOS PAC ID: 9133660368 Enrollment ID: I20240916001655 |
| Provider Name | Morgan Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669024436 PECOS PAC ID: 1759822869 Enrollment ID: I20240917001423 |
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