| Eileen Blair, | |
|
50 Academy Hill Rd, Plainfield, CT 06374-1600 | |
| (860) 564-2323 | |
| Not Available |
| Full Name | Eileen Blair |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 50 Academy Hill Rd, Plainfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043616394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001124 (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 |
|---|---|
| Eileen Blair, 50 Academy Hill Rd, Plainfield, CT 06374-1600 Ph: (860) 564-2323 | Eileen Blair, 50 Academy Hill Rd, Plainfield, CT 06374-1600 Ph: (860) 564-2323 |
Mrs. Maria A Gorby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Academy Hill Rd, Plainfield, CT 06374 Phone: 860-564-2323 Fax: 860-564-2696 | |
Mr. Gregory Bruce Jack, LPC Counselor Medicare: Medicare Enrolled Practice Location: 50 Academy Hill Road, Plainfield, CT 06374 Phone: 860-564-3015 Fax: 860-564-3025 | |
Laurie Elaine Deslauriers, LADC/MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 High Meadow Dr, Plainfield, CT 06374 Phone: 860-334-5197 | |
Gina Tourangeau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Academy Hill Rd, Plainfield, CT 06374 Phone: 860-917-9559 | |
Mr. Andrew Demalia Jr., LCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Easy St, Plainfield, CT 06374 Phone: 774-312-3881 |