| Your Peace Of Mind Therapeutic Services, Llc | |
|
682 Prospect Ave Ste 103 Hartford CT 06105-4238 | |
| (860) 663-8131 | |
| Not Available |
| Full Name | Your Peace Of Mind Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 682 Prospect Ave Ste 103, Hartford, Connecticut |
| Authorized Official Name and Position | Jessica Lazu (BUSINESS OWNER) |
| Authorized Official Contact | 8606638131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Peace Of Mind Therapeutic Services, Llc 682 Prospect Ave Ste 103 Hartford CT 06105-4238 Ph: (860) 663-8131 | Your Peace Of Mind Therapeutic Services, Llc 682 Prospect Ave Ste 103 Hartford CT 06105-4238 Ph: (860) 663-8131 |
| NPI Number | 1821799396 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 3577921618 |
|---|---|
| Medicare Enrollment ID | O20230621002192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821799396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Inez Lazu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144816158 PECOS PAC ID: 3678931714 Enrollment ID: I20230621002168 |
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