Twin Peaks Counseling, Llc | |
303 Roosevelt Dr Derby CT 06418-1629 | |
(475) 777-9303 | |
Not Available |
Full Name | Twin Peaks Counseling, Llc |
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Speciality | Social Worker |
Location | 303 Roosevelt Dr, Derby, Connecticut |
Authorized Official Name and Position | Dayne Bachmann (OWNER/CLINICIAN) |
Authorized Official Contact | 4757779303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Twin Peaks Counseling, Llc 303 Roosevelt Dr Derby CT 06418-1629 Ph: (475) 777-9303 | Twin Peaks Counseling, Llc 303 Roosevelt Dr Derby CT 06418-1629 Ph: (475) 777-9303 |
NPI Number | 1477065407 |
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Provider Enumeration Date | 10/31/2017 |
Last Update Date | 10/31/2017 |
Medicare PECOS PAC ID | 0749543817 |
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Medicare Enrollment ID | O20180424002611 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477065407 | NPI | - | NPPES |
008064720 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 009421 (Connecticut) | Primary |
Provider Name | Soffia Jonsdottir |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144262411 PECOS PAC ID: 7315917721 Enrollment ID: I20040730000948 |
Provider Name | Rhonie V Henry-clarke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528186046 PECOS PAC ID: 9830285758 Enrollment ID: I20071023000453 |
Provider Name | Danielle Capozziello |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063741635 PECOS PAC ID: 0840335626 Enrollment ID: I20100304000326 |
Provider Name | Michelle S Murphy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760927552 PECOS PAC ID: 1456634757 Enrollment ID: I20170213000211 |
Provider Name | Dawnmarie Hunter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598297368 PECOS PAC ID: 9537434022 Enrollment ID: I20171106002468 |
Provider Name | Dayne Bachmann |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235537663 PECOS PAC ID: 2860756921 Enrollment ID: I20180426001419 |
Provider Name | Daisy Abbott |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831112424 PECOS PAC ID: 6608007414 Enrollment ID: I20190509000138 |
Provider Name | Teila Marie Lanci |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255940094 PECOS PAC ID: 8921427832 Enrollment ID: I20200925002098 |
Provider Name | Hannah Kristan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053918045 PECOS PAC ID: 4082026612 Enrollment ID: I20201223001255 |
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