| Heidi Taggart, | |
|
249 Winsted Rd, Torrington, CT 06790-2958 | |
| (860) 496-3600 | |
| Not Available |
| Full Name | Heidi Taggart |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 249 Winsted Rd, Torrington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457895609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 6899 (Connecticut) | Primary |
| Entity Name | State Of Connecticut |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841225489 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Taggart, 141 E Main St, Waterbury, CT 06702-2310 Ph: () - | Heidi Taggart, 249 Winsted Rd, Torrington, CT 06790-2958 Ph: (860) 496-3600 |
Jaymie Naclerio, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Peck Rd, Torrington, CT 06790 Phone: 860-294-9060 | |
Paul Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 High St, Torrington, CT 06790 Phone: 860-496-2100 Fax: 860-496-2111 | |
Michael Wolftrand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391 | |
Ebony N Wilson, LPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 65 Highfield Dr, Torrington, CT 06790 Phone: 860-626-5002 | |
Cassidy Rose Parent Camille, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 High St, Torrington, CT 06790 Phone: 860-496-2100 | |
Mrs. Gracie Elizabeth Driscoll, CHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Northridge Ave, Torrington, CT 06790 Phone: 860-480-1363 | |
Jennie Irene Santa Maria, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391 |