| Worthy, Llc | |
|
106 Modock Rd Pomfret Center CT 06259-1605 | |
| (401) 523-4488 | |
| Not Available |
| Full Name | Worthy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 106 Modock Rd, Pomfret Center, Connecticut |
| Authorized Official Name and Position | Donna Grant (BILLING) |
| Authorized Official Contact | 4015234488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Worthy, Llc 106 Modock Rd Pomfret Center CT 06259-1605 Ph: (401) 523-4488 | Worthy, Llc 106 Modock Rd Pomfret Center CT 06259-1605 Ph: (401) 523-4488 |
| NPI Number | 1770280943 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Medicare PECOS PAC ID | 3971976671 |
|---|---|
| Medicare Enrollment ID | O20230228001507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770280943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Donna M Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497429039 PECOS PAC ID: 4880067586 Enrollment ID: I20230228001747 |
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