| Undivided Soul Llc | |
|
969 W Main St Ste 2g Waterbury CT 06708-2666 | |
| (203) 697-8983 | |
| Not Available |
| Full Name | Undivided Soul Llc |
|---|---|
| Speciality | Counselor |
| Location | 969 W Main St Ste 2g, Waterbury, Connecticut |
| Authorized Official Name and Position | Kathryn Gelinas (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2036978983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Undivided Soul Llc 969 W Main St Ste 2g Waterbury CT 06708-2666 Ph: (203) 697-8983 | Undivided Soul Llc 969 W Main St Ste 2g Waterbury CT 06708-2666 Ph: (203) 697-8983 |
| NPI Number | 1558809178 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 2860837697 |
|---|---|
| Medicare Enrollment ID | O20240301003125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558809178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3103 (Connecticut) | Primary |
| Provider Name | Kathryn S Gelinas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356886014 PECOS PAC ID: 1850736687 Enrollment ID: I20240301003373 |
Bravely Obsessed With Living Daily Counsel Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Visconti Ave, Waterbury, CT 06704 Phone: 203-707-0039 | |
Spectrum Professional Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77-79 Bishop St, Waterbury, CT 06704 Phone: 203-756-7987 | |
Creative Solutions For Healthy Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Merrill St, Waterbury, CT 06708 Phone: 203-910-5640 | |
Laurie Mastrianna Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Highland Ave, Waterbury, CT 06708 Phone: 203-228-9332 | |
Empowering Hope, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 W Main St Fl 4, Waterbury, CT 06702 Phone: 036-453-4382 | |
Girard Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Grand St Ste 219, Waterbury, CT 06702 Phone: 203-423-3546 Fax: 203-841-1184 | |
Triumph Through Transitions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Kara Dr, Waterbury, CT 06704 Phone: 203-633-3088 |