Torrington Psychotherapy Llc | |
79 Main St Unit 9 Torrington CT 06790-5330 | |
(860) 689-9247 | |
Not Available |
Full Name | Torrington Psychotherapy Llc |
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Speciality | Clinic/Center |
Location | 79 Main St Unit 9, Torrington, Connecticut |
Authorized Official Name and Position | Annika Foster (OWNER&OPERATOR) |
Authorized Official Contact | 8606725893 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Torrington Psychotherapy Llc 79 Main St Unit 9 Torrington CT 06790-5330 Ph: (860) 689-9247 | Torrington Psychotherapy Llc 79 Main St Unit 9 Torrington CT 06790-5330 Ph: (860) 689-9247 |
NPI Number | 1619639614 |
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Provider Enumeration Date | 10/07/2021 |
Last Update Date | 02/07/2022 |
Certification Date | 02/07/2022 |
Medicare PECOS PAC ID | 8921491002 |
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Medicare Enrollment ID | O20220214001117 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619639614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Annika Foster |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669970570 PECOS PAC ID: 2062747017 Enrollment ID: I20190712000510 |
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