| Taylor Lisee, | |
|
8 Delay St, Danbury, CT 06810-6654 | |
| (203) 797-8330 | |
| Not Available |
| Full Name | Taylor Lisee |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 8 Delay St, Danbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407694177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7464 (Connecticut) | Primary |
| Entity Name | Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Lisee, 19 Grand St., Provider Enrollment, Middletown, CT 06457 Ph: (860) 347-6971 | Taylor Lisee, 8 Delay St, Danbury, CT 06810-6654 Ph: (203) 797-8330 |
Nick Nelson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-360-2889 Fax: 203-332-3271 | |
Haley Mozonski, Counselor Medicare: Medicare Enrolled Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689 | |
Mrs. Carolyn Cunningham, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 72 North St, Suite 205, Danbury, CT 06810 Phone: 203-794-1044 Fax: 203-743-1110 | |
Ashley Seltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West Street, Danbury, CT 06810 Phone: 203-205-2618 | |
Ms. Donna Gail Harrison-patton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 203-748-5689 | |
Mr. John Joseph Gordon, Jr., CASAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Virginia Ave, Unit 7, Danbury, CT 06810 Phone: 917-309-2067 | |
Danielle Victoria Sterry, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Mill Plain Rd # 4, Danbury, CT 06811 Phone: 203-903-8010 |