| Mimi Beaulieu, LPC, CCDP | |
|
195 S Main St, Cheshire, CT 06410-3171 | |
| (203) 298-8307 | |
| Not Available |
| Full Name | Mimi Beaulieu |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 195 S Main St, Cheshire, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497910343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001709 (Connecticut) | Primary |
| Entity Name | Step Up Care PC LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Mimi Beaulieu, LPC, CCDP 83 Chesterfield Rd, East Lyme, CT 06333-1202 Ph: (203) 298-8307 | Mimi Beaulieu, LPC, CCDP 195 S Main St, Cheshire, CT 06410-3171 Ph: (203) 298-8307 |
Heather Alix, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Hinman St, Cheshire, CT 06410 Phone: 203-250-0305 |
Suzanne Meyer-farrell, Counselor Medicare: May Accept Medicare Assignments Practice Location: 673 South Avenue, Cheshire, CT 06410 Phone: 203-271-1430 |
Mrs. Kelly Ann Rodriguez, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 420 Highland Ave Ste B1, Cheshire, CT 06410 Phone: 203-931-5566 Fax: 888-531-8142 |
Anne Sansone, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 W Johnson Ave Ste 310, Cheshire, CT 06410 Phone: 860-358-0188 |
Jessica E Tresselt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 Highland Ave, Cheshire, CT 06410 Phone: 203-599-1492 |
Patricia Parlante, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Highland Ave, Cheshire, CT 06410 Phone: 203-599-1492 |
Hunter Paul Mayhew, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 677 S Main St Ste 5a, Cheshire, CT 06410 Phone: 860-506-6016 |