| Shaylyn Charbonneau, | |
|
550 Hartford Tpke, Vernon, CT 06066-5017 | |
| (860) 870-5997 | |
| (860) 870-8170 |
| Full Name | Shaylyn Charbonneau |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 550 Hartford Tpke, Vernon, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528652211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5865 (Connecticut) | Primary |
| 103K00000X | Behavior Analyst | 1141 (Connecticut) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaylyn Charbonneau, 550 Hartford Tpke, Vernon, CT 06066-5017 Ph: (860) 870-5997 | Shaylyn Charbonneau, 550 Hartford Tpke, Vernon, CT 06066-5017 Ph: (860) 870-5997 |
Dennis Tomczak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Regan Rd Apt 33a, Vernon, CT 06066 Phone: 860-916-1816 | |
Mrs. Theresa Ouellette, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-982-9825 Fax: 860-870-9384 | |
Ms. Gwendolyn Elaine Hayes, LCSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 35 Talcottville Rd Ste 10, Vernon, CT 06066 Phone: 860-558-2554 | |
Mrs. Marissa Brook Cormier, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-872-9825 Fax: 860-870-9384 | |
Nikki Gilgosky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-872-9835 | |
Brianna Gurn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 W Main St, Apt 309, Vernon, CT 06066 Phone: 860-617-0247 | |
Ms. Nancy Taylor Dunn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 Hartford Tpke, Vernon, CT 06066 Phone: 860-872-7696 Fax: 860-871-0252 |