| Mrs Jaime Lind Bohan, | |
|
9 Sherwin Dr, Enfield, CT 06082-2065 | |
| (860) 558-5514 | |
| Not Available |
| Full Name | Mrs Jaime Lind Bohan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 9 Sherwin Dr, Enfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922855089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 46.007242 (Connecticut) | Primary |
| Entity Name | Shore Path Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023866415 PECOS PAC ID: 6103363981 Enrollment ID: O20240730003004 |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240807001825 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jaime Lind Bohan, Po Box 277, Enfield, CT 06083-0277 Ph: (860) 558-5514 | Mrs Jaime Lind Bohan, 9 Sherwin Dr, Enfield, CT 06082-2065 Ph: (860) 558-5514 |
Shaliar Drew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-253-5030 | |
Francesca Nicole Porter, LADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Burnham St, Enfield, CT 06082 Phone: 774-571-5193 | |
Meiline Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-253-5030 | |
Francis May, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Elm St, Suite 204, Enfield, CT 06082 Phone: 860-741-3001 Fax: 860-741-8332 | |
Monica E Crimmins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 877-884-3571 Fax: 860-731-5536 | |
Heidi Schuman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 Barbara Jean Dr, Enfield, CT 06082 Phone: 518-424-6719 | |
Melissa Reale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47 Palomba Dr, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-253-5030 |