| Diane Gertud Reilly, LPC | |
|
136 Pembroke Rd, Unit 6, Danbury, CT 06811-3075 | |
| (203) 942-8981 | |
| Not Available |
| Full Name | Diane Gertud Reilly |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 136 Pembroke Rd, Danbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891159331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2625 (Connecticut) | Primary |
| Entity Name | Step Up Care Pc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Gertud Reilly, LPC 36 Pembroke Rd, Unit 6, Danbury, CT 06811-2956 Ph: (203) 942-8981 | Diane Gertud Reilly, LPC 136 Pembroke Rd, Unit 6, Danbury, CT 06811-3075 Ph: (203) 942-8981 |
Nick Nelson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-360-2889 Fax: 203-332-3271 | |
Haley Mozonski, Counselor Medicare: Medicare Enrolled Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689 | |
Mrs. Carolyn Cunningham, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 72 North St, Suite 205, Danbury, CT 06810 Phone: 203-794-1044 Fax: 203-743-1110 | |
Ashley Seltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West Street, Danbury, CT 06810 Phone: 203-205-2618 | |
Ms. Donna Gail Harrison-patton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689 | |
Mr. John Joseph Gordon, Jr., CASAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Virginia Ave, Unit 7, Danbury, CT 06810 Phone: 917-309-2067 | |
Danielle Victoria Sterry, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Mill Plain Rd # 4, Danbury, CT 06811 Phone: 203-903-8010 |