Counseling For Change And Growth Llc | |
185 Silas Deane Hwy Third Floor Wethersfield CT 06109 | |
(860) 608-8081 | |
Not Available |
Full Name | Counseling For Change And Growth Llc |
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Speciality | Counselor |
Location | 185 Silas Deane Hwy, Wethersfield, Connecticut |
Authorized Official Name and Position | Blerim Rexhaj (OWNER) |
Authorized Official Contact | 8606088081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Counseling For Change And Growth Llc 185 Silas Deane Hwy Third Floor Wethersfield CT 06109 Ph: (860) 608-8081 | Counseling For Change And Growth Llc 185 Silas Deane Hwy Third Floor Wethersfield CT 06109 Ph: (860) 608-8081 |
NPI Number | 1710353792 |
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Provider Enumeration Date | 08/13/2015 |
Last Update Date | 03/25/2020 |
Certification Date | 03/25/2020 |
Medicare PECOS PAC ID | 3971939513 |
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Medicare Enrollment ID | O20200130001580 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710353792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 2333 (Connecticut) | Primary |
Provider Name | Judith Devoe |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1861855595 PECOS PAC ID: 9537468962 Enrollment ID: I20160505001735 |
Provider Name | Blerim Rexhaj |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871853721 PECOS PAC ID: 0446689400 Enrollment ID: I20220901002106 |
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