| Dianne Elizabeth Brower, LPC | |
|
155 W Broad St Apt 1, Pawcatuck, CT 06379-1824 | |
| (860) 333-7800 | |
| Not Available |
| Full Name | Dianne Elizabeth Brower |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 155 W Broad St Apt 1, Pawcatuck, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760130967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 03-918691 (Connecticut) | Primary |
| Entity Name | Mystic Bridge To Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750044509 PECOS PAC ID: 6204200207 Enrollment ID: O20230314002151 |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne Elizabeth Brower, LPC 155 W Broad St Apt 1, Pawcatuck, CT 06379-1824 Ph: (860) 333-7800 | Dianne Elizabeth Brower, LPC 155 W Broad St Apt 1, Pawcatuck, CT 06379-1824 Ph: (860) 333-7800 |
Vivian Reddin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 S Broad St Unit 1054, Pawcatuck, CT 06379 Phone: 401-363-8407 | |
Heather Hyland, Counselor Medicare: Medicare Enrolled Practice Location: 1 Prospect St Apt F, Pawcatuck, CT 06379 Phone: 860-371-4181 | |
Mallory M Williston, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 38 S Broad St, Pawcatuck, CT 06379 Phone: 860-437-4550 Fax: 860-661-4262 | |
Grace Rezendes, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Canterbury Ln, Pawcatuck, CT 06379 Phone: 860-608-2442 | |
Maribeth Scahill, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Wilcox Mnr, Pawcatuck, CT 06379 Phone: 860-501-3299 | |
Jessica Marshall, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 W Broad St, Pawcatuck, CT 06379 Phone: 860-857-2834 |