| Emily Kelly, | |
|
225 N Main St Ste Suite80, Bristol, CT 06010-4926 | |
| (860) 506-7905 | |
| Not Available |
| Full Name | Emily Kelly |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 225 N Main St Ste Suite80, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992158604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003551 (Connecticut) | Primary |
| 101YM0800X | Counselor - Mental Health | 068.0136426 (Vermont) | Secondary |
| Entity Name | Within Reach Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871147546 PECOS PAC ID: 3678804879 Enrollment ID: O20191018000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Kelly, 225 N Main St Ste 80, Bristol, CT 06010-4926 Ph: (413) 285-3274 | Emily Kelly, 225 N Main St Ste Suite80, Bristol, CT 06010-4926 Ph: (860) 506-7905 |
Audrey Krawiec, MS Counselor Medicare: Medicare Enrolled Practice Location: 1098 Farmington Ave, Bristol, CT 06010 Phone: 860-589-6433 Fax: 860-589-6442 | |
Ms. Tammy Parker, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Edward St, Bristol, CT 06010 Phone: 860-585-8200 Fax: 860-585-8200 | |
Mr. Michael Kriscenski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Winding Brook Rd, Bristol, CT 06010 Phone: 860-378-9574 | |
Mr. Warren Corson Iv, Counselor Medicare: Not Enrolled in Medicare Practice Location: 489 Wolcott St, 39, Bristol, CT 06010 Phone: 860-543-2384 | |
Jennifer Quagliano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 888-793-3500 | |
Emily Marie Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St Ste 106, Bristol, CT 06010 Phone: 888-793-3500 | |
Emily C Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 860-793-3500 |