| Grace Thomas, LPC | |
|
949 Bridgeport Ave, Milford, CT 06460-3142 | |
| (203) 878-6365 | |
| (203) 301-2397 |
| Full Name | Grace Thomas |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 949 Bridgeport Ave, Milford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366787673 | NPI | - | NPPES |
| 77ABH0005CT01 | Other | CT | ANTHEM BEHAVIORAL HEALTH |
| ANC 1406 | Other | CT | OXFORD HEALTH PLANS |
| 004039244 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002279 (Connecticut) | Primary |
| Entity Name | Bridges Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851350300 PECOS PAC ID: 3971401365 Enrollment ID: O20031223000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Thomas, LPC 949 Bridgeport Ave, Milford, CT 06460-3142 Ph: (203) 878-6365 | Grace Thomas, LPC 949 Bridgeport Ave, Milford, CT 06460-3142 Ph: (203) 878-6365 |
Lamont Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Berthania Boursiquot, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 Fax: 203-301-2397 | |
Ewa Kluk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 W Main St Ste 205, Milford, CT 06460 Phone: 203-296-3002 | |
Sheila M. Sneed, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 High St, Milford, CT 06460 Phone: 203-874-6270 | |
Joanne C Prete, ATR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Oxford Rd Ste C1, Milford, CT 06460 Phone: 203-600-8900 | |
Douglas William Roberto, DARC, RCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Village Rd, Milford, CT 06460 Phone: 203-843-4143 | |
Margaret Burton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Naugatuck Ave, Milford, CT 06461 Phone: 475-331-2100 |