Blake Reuter, LPC | |
228 Meadow St, Waterbury, CT 06702-1807 | |
(203) 597-0643 | |
Not Available |
Full Name | Blake Reuter |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 228 Meadow St, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114318789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 002685 (Connecticut) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081 |
Mailing Address | Practice Location Address |
---|---|
Blake Reuter, LPC 228 Meadow St, Waterbury, CT 06702-1807 Ph: () - | Blake Reuter, LPC 228 Meadow St, Waterbury, CT 06702-1807 Ph: (203) 597-0643 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Shana A Santana, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 | |
Ms. Shawnday Becerril, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Robbins St, Crisis Center, Waterbury, CT 06708 Phone: 203-573-6500 |