| Lily Anne Mudre, LPC-A | |
|
410 Campbell Ave, West Haven, CT 06516-5014 | |
| (203) 814-2953 | |
| Not Available |
| Full Name | Lily Anne Mudre |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 410 Campbell Ave, West Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932885258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5854 (Connecticut) | Primary |
| Entity Name | Cornell Scott Hill Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Anne Mudre, LPC-A 75 Florence St, Stratford, CT 06614-2331 Ph: (203) 814-2953 | Lily Anne Mudre, LPC-A 410 Campbell Ave, West Haven, CT 06516-5014 Ph: (203) 814-2953 |
Morgan Rollins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Lee St, West Haven, CT 06516 Phone: 203-545-2619 | |
Mr. James Michael Aleksunes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, Ms 122v, West Haven, CT 06516 Phone: 203-932-5711 | |
Anokhi Patel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Alling St, West Haven, CT 06516 Phone: 813-598-1317 | |
Jaylah Evans, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Homeside Ave, West Haven, CT 06516 Phone: 203-800-0647 | |
Marylou Duggan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Boston Post Rd, West Haven, CT 06516 Phone: 203-506-4133 Fax: 203-931-4068 | |
Natalie Deandrea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Elm St, West Haven, CT 06516 Phone: 203-933-8050 | |
Elisa M Rodriguez, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 184 Front Ave, West Haven, CT 06516 Phone: 203-781-4600 Fax: 203-781-4624 |