Sandra Enders, | |
23 Oregon Ave, East Haven, CT 06512-4120 | |
(203) 468-6277 | |
Not Available |
Full Name | Sandra Enders |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 23 Oregon Ave, East 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 |
---|---|---|---|
1003388141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 44.001491 (Connecticut) | Secondary |
101YP2500X | Counselor - Professional | 46.005894 (Connecticut) | Primary |
Entity Name | Step Up Care Pc Llc |
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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 |
---|---|
Sandra Enders, 23 Oregon Ave, East Haven, CT 06512-4120 Ph: (203) 468-6277 | Sandra Enders, 23 Oregon Ave, East Haven, CT 06512-4120 Ph: (203) 468-6277 |
Mr. Lawrence Doyle, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Thompson Ave, East Haven, CT 06512 Phone: 120-346-8329 Fax: 120-346-8333 | |
Ms. Maryjane Speranza, LPC Counselor Medicare: Medicare Enrolled Practice Location: 259 Grannis St, East Haven, CT 06512 Phone: 203-376-8891 | |
Dr. Karen Monica Blanchard Gore', PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Main St, East Haven, CT 06512 Phone: 203-467-2102 | |
Cheyenne Ellise Mcelhiney, LMHC/P Counselor Medicare: Medicare Enrolled Practice Location: 64 Thompson St, East Haven, CT 06513 Phone: 860-415-6049 | |
Shumoel Zafar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Thompson St Ste A103, East Haven, CT 06513 Phone: 203-691-1685 | |
Nina Ann Sutton, MA, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Thompson St Ste A106, East Haven, CT 06513 Phone: 203-984-6149 |