| Angela Menta Snelling, MA LPC | |
|
4 Willow Brook Farm Rd, Old Saybrook, CT 06475-4039 | |
| (916) 390-1211 | |
| Not Available |
| Full Name | Angela Menta Snelling |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4 Willow Brook Farm Rd, Old Saybrook, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336175637 | NPI | - | NPPES |
| 240001376CT02 | Other | CT | ANTHEM BLUE CROSS & BLUE |
| 004259489 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001376 (Connecticut) | Secondary |
| 101YM0800X | Counselor - Mental Health | LMHC12452 (Massachusetts) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240716003486 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Menta Snelling, MA LPC 2795 E Bidwell St, Suite 100-189, Folsom, CA 95630-6480 Ph: (916) 390-1211 | Angela Menta Snelling, MA LPC 4 Willow Brook Farm Rd, Old Saybrook, CT 06475-4039 Ph: (916) 390-1211 |
Leah Av Russack-baker, LADC Counselor Medicare: Medicare Enrolled Practice Location: 123 Elm St, Old Saybrook, CT 06475 Phone: 860-395-1264 | |
Mary-katherine Louetta Peralez, LPC, LMHC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 519 Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-471-7896 | |
Michelle Mclain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Sunset Ave, Old Saybrook, CT 06475 Phone: 860-876-0881 | |
Mrs. Amanda Rau Mckenna, Counselor Medicare: Medicare Enrolled Practice Location: 5 Seabreeze Rd, Old Saybrook, CT 06475 Phone: 860-209-6165 | |
Jeffrey Alfonso Guance, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Elm St, Old Saybrook, CT 06475 Phone: 860-388-9656 | |
Anthony Augustine, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 841 Middlesex Tpke, Old Saybrook, CT 06475 Phone: 860-395-0111 Fax: 860-395-1264 | |
Karyn L Hester, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Old Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-322-2082 |