| Ms Melanie Mitchell, MS,BA,LPC | |
|
30 Peck Rd, Building 2 Suite#2203, Torrington, CT 06790-6123 | |
| (860) 626-7007 | |
| (860) 626-7014 |
| Full Name | Ms Melanie Mitchell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 30 Peck 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 |
|---|---|---|---|
| 1215202437 | NPI | - | NPPES |
| 4930230 | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 531888 | Other | CT | MHN MANAGED HEALTH NETWORK |
| 060669107 | Other | CT | UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH- CONNECTICARE WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH-UNITED HEALTH WELLMORE GRP/FACILITY |
| 12714353 | Other | CT | CAQH |
| PENDING | Other | CT | AETNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | UBH-LIBERTY/FREEDOM OXFORD WELLMORE GRP/FACILITY |
| 531888 | Other | CT | MHN TRICARE NORTH |
| 008050691 | Medicaid | CT | |
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| D339225-PINE ST | Other | CT | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2516 (Connecticut) | Primary |
| Entity Name | Staywell Health Care Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melanie Mitchell, MS,BA,LPC 141 E Main St, 4th Floor Administration, Waterbury, CT 06702-2310 Ph: (203) 574-9000 | Ms Melanie Mitchell, MS,BA,LPC 30 Peck Rd, Building 2 Suite#2203, Torrington, CT 06790-6123 Ph: (860) 626-7007 |
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 |