Diane J Richards-penland, LADC | |
60 &70 Cottage St., Danielson, CT 06329 | |
(860) 774-0215 | |
(860) 774-2256 |
Full Name | Diane J Richards-penland |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 60 &70 Cottage St., Danielson, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801576079 | NPI | - | NPPES |
008024427 | Medicaid | CT | |
008023170 | Medicaid | CT | |
008042339 | Medicaid | CT | |
008109605 | Medicaid | CT | |
008039745 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 001484 (Connecticut) | Primary |
Entity Name | Inlight Professional Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619284593 PECOS PAC ID: 4385934058 Enrollment ID: O20160608001681 |
Mailing Address | Practice Location Address |
---|---|
Diane J Richards-penland, LADC 907 Kettletown Rd, Southbury, CT 06488-2641 Ph: (203) 560-6301 | Diane J Richards-penland, LADC 60 &70 Cottage St., Danielson, CT 06329 Ph: (860) 774-0215 |
Shonda M Northup, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Westcott Rd, Danielson, CT 06239 Phone: 860-731-5522 Fax: 860-731-5536 | |
Kate Rosenblatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 N Main St, Danielson, CT 06239 Phone: 860-779-2101 | |
Ellenore G Garvie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Westcott Rd, Danielson, CT 06239 Phone: 860-731-5522 Fax: 860-731-5536 | |
Sheri Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Commerce Ave, Danielson, CT 06239 Phone: 860-774-7179 Fax: 860-779-6526 | |
Susan Chartier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Westcott Rd, Danielson, CT 06239 Phone: 860-774-7179 Fax: 860-779-6526 | |
Mariah Langlois, Counselor Medicare: Medicare Enrolled Practice Location: 71 Westcott Rd, Danielson, CT 06239 Phone: 860-731-5522 Fax: 860-731-5536 | |
Kristin Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 239 Main St, Danielson, CT 06239 Phone: 860-315-3085 |